19D0674366 CLIA NUMBER - COLONIAL OAKS LIVING CENTER

Laboratory Demographics

  • CLIA Code: 19D0674366
  • Facility Name: COLONIAL OAKS LIVING CENTER
  • Facility Address: 4312 ITHACA ST
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 887-6414
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER BROCK
  • NPI Number: 1720085723
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0674366
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLONIAL OAKS LIVING CENTER
Street 4312 ITHACA ST
City METAIRIE
State LA
ZIP 70006
Phone 504 887-6414
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 Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER BROCK

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