19D0457635 CLIA NUMBER - MANHATTAN MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 19D0457635
  • Facility Name: MANHATTAN MEDICAL CLINIC
  • Facility Address: 851 A MANHATTAN BLVD
    HARVEY, LA
    ZIP 70058
  • Facility Phone: 504 368-4396
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAC T. LE
  • NPI Number: 1689900839
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 19D0457635
LAB Type Physician Office
Facility Name MANHATTAN MEDICAL CLINIC
Street 851 A MANHATTAN BLVD
City HARVEY
State LA
ZIP 70058
Phone 504 368-4396
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director CAC T. LE

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