19D0859212 CLIA NUMBER - WESTBANK CHRONIC RENAL CENTER

Laboratory Demographics

  • CLIA Code: 19D0859212
  • Facility Name: WESTBANK CHRONIC RENAL CENTER
  • Facility Address: 3631 BEHRMAN PLACE
    NEW ORLEANS, LA
    ZIP 70114
  • Facility Phone: 504 366-0808
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHAKKUNGAL P. DEVIDOSS, MD
  • NPI Number: 1265491252
  • Taxonomy: 261QE0700X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHAKKUNGAL P. DEVIDOSS, MD

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