19D1014532 CLIA NUMBER - CRESCENT CARE NO/AIDS TASK FORCE

Laboratory Demographics

  • CLIA Code: 19D1014532
  • Facility Name: CRESCENT CARE NO/AIDS TASK FORCE
  • Facility Address: 1631 ELYSIAN FIELDS AVE
    NEW ORLEANS, LA
    ZIP 70117
  • Facility Phone: 504 821-2601
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: ISOLDE F. BUTLER
  • NPI Number: 1386004331
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 19D1014532
LAB Type Federally Qualified Health Center
Facility Name CRESCENT CARE NO/AIDS TASK FORCE
Street 1631 ELYSIAN FIELDS AVE
City NEW ORLEANS
State LA
ZIP 70117
Phone 504 821-2601
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 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Federally Qualified Health Center
Lab Director ISOLDE F. BUTLER

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