19D1014295 CLIA NUMBER - QUYNH MAI CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 19D1014295
  • Facility Name: QUYNH MAI CLINIC, LLC
  • Facility Address: 705 WEST ESPLANADE SUITE A
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 465-0185
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: QUYNH M. MAI
  • NPI Number: 1982668190
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D1014295
LAB Type Physician Office
Facility Name QUYNH MAI CLINIC, LLC
Street 705 WEST ESPLANADE SUITE A
City KENNER
State LA
ZIP 70065
Phone 504 465-0185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director QUYNH M. MAI

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