19D0981712 CLIA NUMBER - EXCELTH FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 19D0981712
  • Facility Name: EXCELTH FAMILY HEALTH CENTER
  • Facility Address: 1515 POYDRAS STREET, SUITE 1070
    NEW ORLEANS, LA
    ZIP 70112
  • Facility Phone: 504 524-1210
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: SCOTT MARTIN
  • NPI Number: 1205275492
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D0981712
LAB Type Community Clinic
Facility Name EXCELTH FAMILY HEALTH CENTER
Street 1515 POYDRAS STREET, SUITE 1070
City NEW ORLEANS
State LA
ZIP 70112
Phone 504 524-1210
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Community Clinic
Lab Director SCOTT MARTIN

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