19D0673042 CLIA NUMBER - ILEANA J TANDRON MD APMC

Laboratory Demographics

  • CLIA Code: 19D0673042
  • Facility Name: ILEANA J TANDRON MD APMC
  • Facility Address: 2240 GAUSE BLVD EAST
    SLIDELL, LA
    ZIP 70461
  • Facility Phone: 504 643-9704
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ILEANA J. TANDRON
  • NPI Number: 1083614879
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0673042
LAB Type Physician Office
Facility Name ILEANA J TANDRON MD APMC
Street 2240 GAUSE BLVD EAST
City SLIDELL
State LA
ZIP 70461
Phone 504 643-9704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ILEANA J. TANDRON

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