19D0710859 CLIA NUMBER - LOYOLA UNIVERSITY STUDENT HEALTH SERVICES

Laboratory Demographics

CLIA Number: 19D0710859

Facility Name: LOYOLA UNIVERSITY STUDENT HEALTH SERVICES

Facility Address:
6363 ST CHARLES AVE, DANNA STUDENT CENTER
NEW ORLEANS, LA
ZIP 70118
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Facility Phone Number: 504 865-3326

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1154904233

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	19D0710859
LAB Type	School/Student Health Service
Facility Name	LOYOLA UNIVERSITY STUDENT HEALTH SERVICES
Street	6363 ST CHARLES AVE, DANNA STUDENT CENTER
City	NEW ORLEANS
State	LA
ZIP	70118
Phone	504 865-3326
CertificateType	4
CertificateEffectiveDate	9/10/2022
CertificateExpirationDate	9/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024