19D0911364 CLIA NUMBER - KENNER REGIONAL DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 19D0911364
  • Facility Name: KENNER REGIONAL DIALYSIS CENTER
  • Facility Address: 200 WEST ESPLANADE AVENUE, SUITE 100
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 471-0931
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LUIS G. URIBE MD
  • NPI Number: 1679532733
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D0911364
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name KENNER REGIONAL DIALYSIS CENTER
Street 200 WEST ESPLANADE AVENUE, SUITE 100
City KENNER
State LA
ZIP 70065
Phone 504 471-0931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LUIS G. URIBE MD

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