19D1000165 CLIA NUMBER - OCHSNER HEALTH CENTER - LAKE TERRACE

Laboratory Demographics

  • CLIA Code: 19D1000165
  • Facility Name: OCHSNER HEALTH CENTER - LAKE TERRACE
  • Facility Address: 1532 ALLEN TOUSSAINT BLVD
    NEW ORLEANS, LA
    ZIP 70122
  • Facility Phone: 504 846-9646
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN KWON
  • NPI Number: 1902367360
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1000165
LAB Type Physician Office
Facility Name OCHSNER HEALTH CENTER - LAKE TERRACE
Street 1532 ALLEN TOUSSAINT BLVD
City NEW ORLEANS
State LA
ZIP 70122
Phone 504 846-9646
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 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director JOHN KWON

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