19D0861254 CLIA NUMBER - PEDIATRIC INPATIENT & SPECIALTY CLINIC CHILDREN'S HOSPITAL

Laboratory Demographics

  • CLIA Code: 19D0861254
  • Facility Name: PEDIATRIC INPATIENT & SPECIALTY CLINIC CHILDREN'S HOSPITAL
  • Facility Address: 200 HENRY CLAY AVENUE
    NEW ORLEANS, LA
    ZIP 70118
  • Facility Phone: 504 894-9249
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ESTELLE OERTLING
  • NPI Number: 1013982990
  • Taxonomy: 2080P0214X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0861254
LAB Type Physician Office
Facility Name PEDIATRIC INPATIENT & SPECIALTY CLINIC CHILDREN'S HOSPITAL
Street 200 HENRY CLAY AVENUE
City NEW ORLEANS
State LA
ZIP 70118
Phone 504 894-9249
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ESTELLE OERTLING

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