19D0922905 CLIA NUMBER - DEPAUL COMMUNITY HEALTH CENTERS MARILLAC COMMUNITY HEALTH CENTERS

Laboratory Demographics

CLIA Number: 19D0922905

Facility Name: DEPAUL COMMUNITY HEALTH CENTERS MARILLAC COMMUNITY HEALTH CENTERS

Facility Address:
3201 S CARROLLTON AVENUE
NEW ORLEANS, LA
ZIP 70118
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Facility Phone Number: 504 207-3060

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1114303534

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	19D0922905
LAB Type	Community Clinic
Facility Name	DEPAUL COMMUNITY HEALTH CENTERS MARILLAC COMMUNITY HEALTH CENTERS
Street	3201 S CARROLLTON AVENUE
City	NEW ORLEANS
State	LA
ZIP	70118
Phone	504 207-3060
CertificateType	3
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024