19D0987635 CLIA NUMBER - KENNER PHYSICIAN ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 19D0987635
  • Facility Name: KENNER PHYSICIAN ASSOCIATES, LLC
  • Facility Address: 200 WEST ESPLANADE AVENUE, SUITE 405
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 712-7000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELLEY COVINGTON
  • NPI Number: 1295887149
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D0987635
LAB Type Physician Office
Facility Name KENNER PHYSICIAN ASSOCIATES, LLC
Street 200 WEST ESPLANADE AVENUE, SUITE 405
City KENNER
State LA
ZIP 70065
Phone 504 712-7000
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 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director KELLEY COVINGTON

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