19D0458643 CLIA NUMBER - JERRY H ROSENBERG MD

Laboratory Demographics

  • CLIA Code: 19D0458643
  • Facility Name: JERRY H ROSENBERG MD
  • Facility Address: 4224 HOUMA BOULEVARD #260
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: (504) 891-6111
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JERRY H. ROSENBERG MD
  • NPI Number: 1710004007
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0458643
LAB Type Physician Office
Facility Name JERRY H ROSENBERG MD
Street 4224 HOUMA BOULEVARD #260
City METAIRIE
State LA
ZIP 70006
Phone 5048916111
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 3/7/2026
Certificate Expiration Date 3/6/2028
Facility Type Physician Office
Lab Director JERRY H. ROSENBERG MD

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This page was last updated on: 5/18/2026