19D0460188 CLIA NUMBER - ST TAMMANY PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 19D0460188
  • Facility Name: ST TAMMANY PHYSICIANS NETWORK
  • Facility Address: 80 GARDENIA DRIVE SUITE B
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 626-1717
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH R. MILLET
  • NPI Number: 1689107062
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 19D0460188
LAB Type Physician Office
Facility Name ST TAMMANY PHYSICIANS NETWORK
Street 80 GARDENIA DRIVE SUITE B
City COVINGTON
State LA
ZIP 70433
Phone 985 626-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director JOSEPH R. MILLET

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