19D0875869 CLIA NUMBER - WILLIAM ST JOHN LACORTE PMC

Laboratory Demographics

  • CLIA Code: 19D0875869
  • Facility Name: WILLIAM ST JOHN LACORTE PMC
  • Facility Address: 519 METAIRIE ROAD SUITE 100
    METAIRIE, LA
    ZIP 70005
  • Facility Phone: 504 838-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM S. LACORTE
  • NPI Number: 1053324566
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0875869
LAB Type Physician Office
Facility Name WILLIAM ST JOHN LACORTE PMC
Street 519 METAIRIE ROAD SUITE 100
City METAIRIE
State LA
ZIP 70005
Phone 504 838-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2023
Certificate Expiration Date 9/1/2025
Facility Type Physician Office
Lab Director WILLIAM S. LACORTE

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This page was last updated on: 6/4/2025