19D0996823 CLIA NUMBER - NORTHSHORE REDI-MED

Laboratory Demographics

  • CLIA Code: 19D0996823
  • Facility Name: NORTHSHORE REDI-MED
  • Facility Address: 4430 HIGHWAY 22
    MANDEVILLE, LA
    ZIP 70471
  • Facility Phone: 985 626-3470
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD YOUSEF
  • NPI Number: 1295050599
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0996823
LAB Type Physician Office
Facility Name NORTHSHORE REDI-MED
Street 4430 HIGHWAY 22
City MANDEVILLE
State LA
ZIP 70471
Phone 985 626-3470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director MOHAMMAD YOUSEF

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