19D0859212 CLIA NUMBER - WESTBANK CHRONIC RENAL CENTER

Laboratory Demographics

CLIA Number: 19D0859212

Facility Name: WESTBANK CHRONIC RENAL CENTER

Facility Address:
3631 BEHRMAN PLACE
NEW ORLEANS, LA
ZIP 70114
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Facility Phone Number: 504 366-0808

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1265491252

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D0859212
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WESTBANK CHRONIC RENAL CENTER
Street	3631 BEHRMAN PLACE
City	NEW ORLEANS
State	LA
ZIP	70114
Phone	504 366-0808
CertificateType	4
CertificateEffectiveDate	8/4/2022
CertificateExpirationDate	8/3/2024
FacilityType	Waiver

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