19D0880085 CLIA NUMBER - FLEUR DE LIS DIALYSIS

Laboratory Demographics

  • CLIA Code: 19D0880085
  • Facility Name: FLEUR DE LIS DIALYSIS
  • Facility Address: 5555 BULLARD AVENUE
    NEW ORLEANS, LA
    ZIP 70128
  • Facility Phone: 504 240-2696
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS MIMS, MD
  • NPI Number: 1114986288
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0880085
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FLEUR DE LIS DIALYSIS
Street 5555 BULLARD AVENUE
City NEW ORLEANS
State LA
ZIP 70128
Phone 504 240-2696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director THOMAS MIMS, MD

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