19D0980460 CLIA NUMBER - NOLA SJH II, LLC

Laboratory Demographics

  • CLIA Code: 19D0980460
  • Facility Name: NOLA SJH II, LLC
  • Facility Address: 507 UPSTREAM STREET
    RIVER RIDGE, LA
    ZIP 70123
  • Facility Phone: 504 305-4910
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GLENN G. BLAIR
  • NPI Number: 1528459948
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D0980460
LAB Type Hospice
Facility Name NOLA SJH II, LLC
Street 507 UPSTREAM STREET
City RIVER RIDGE
State LA
ZIP 70123
Phone 504 305-4910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Hospice
Lab Director GLENN G. BLAIR

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