19D2320035 CLIA NUMBER - BATON ROUGE CLINIC PRAIRIEVILLE

Laboratory Demographics

  • CLIA Code: 19D2320035
  • Facility Name: BATON ROUGE CLINIC PRAIRIEVILLE
  • Facility Address: 14153 LA-73
    PRAIRIEVILLE, LA
    ZIP 70769
  • Facility Phone: 225 246-9292
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON SCHROCK
  • NPI Number: 1568749281
  • Taxonomy: 246ZE0600X - Specialist/Technologist, Other

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CLIA Record

Field Name Field Value
CLIA Number 19D2320035
LAB Type Physician Office
Facility Name BATON ROUGE CLINIC PRAIRIEVILLE
Street 14153 LA-73
City PRAIRIEVILLE
State LA
ZIP 70769
Phone 225 246-9292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director JASON SCHROCK

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This page was last updated on: 9/29/2025