19D0955979 CLIA NUMBER - PEDICONS, INC

Laboratory Demographics

  • CLIA Code: 19D0955979
  • Facility Name: PEDICONS, INC
  • Facility Address: 10130 CROSSING WAY, STE 335
    DENHAM SPRINGS, LA
    ZIP 70726
  • Facility Phone: 225 667-2777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIANA M. MAYO
  • NPI Number: 1295861128
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D0955979
LAB Type Physician Office
Facility Name PEDICONS, INC
Street 10130 CROSSING WAY, STE 335
City DENHAM SPRINGS
State LA
ZIP 70726
Phone 225 667-2777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director BRIANA M. MAYO

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