19D0994345 CLIA NUMBER - NORTHLAKE ENDOSCOPY

Laboratory Demographics

  • CLIA Code: 19D0994345
  • Facility Name: NORTHLAKE ENDOSCOPY
  • Facility Address: 16061 DOCTORS BOULEVARD, SUITE A
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 985 542-1334
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHELLE WALKER
  • NPI Number: 1861484842
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D0994345
LAB Type Ambulatory Surgery Center
Facility Name NORTHLAKE ENDOSCOPY
Street 16061 DOCTORS BOULEVARD, SUITE A
City HAMMOND
State LA
ZIP 70403
Phone 985 542-1334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Ambulatory Surgery Center
Lab Director MICHELLE WALKER

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