19D0648963 CLIA NUMBER - NORTHLAKE BEHAVIORAL HEALTH SYSTEM NESS HEALTHCARE NFP

Laboratory Demographics

  • CLIA Code: 19D0648963
  • Facility Name: NORTHLAKE BEHAVIORAL HEALTH SYSTEM NESS HEALTHCARE NFP
  • Facility Address: 23455 SPARROW ROAD
    MANDEVILLE, LA
    ZIP 70448
  • Facility Phone: 985 626-6643
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JOSE L. RODRIGUEZ
  • NPI Number: 1154855781
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0648963
LAB Type Hospital
Facility Name NORTHLAKE BEHAVIORAL HEALTH SYSTEM NESS HEALTHCARE NFP
Street 23455 SPARROW ROAD
City MANDEVILLE
State LA
ZIP 70448
Phone 985 626-6643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director JOSE L. RODRIGUEZ

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