19D0673062 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 19D0673062
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 59325 RIVER WEST DR SUITE D
    PLAQUEMINE, LA
    ZIP 70764
  • Facility Phone: 225 687-3055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL M. QUINN
  • NPI Number: 1639257215
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D0673062
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 59325 RIVER WEST DR SUITE D
City PLAQUEMINE
State LA
ZIP 70764
Phone 225 687-3055
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 MICHAEL M. QUINN

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