19D1019068 CLIA NUMBER - BONE & JOINT CLINIC

Laboratory Demographics

  • CLIA Code: 19D1019068
  • Facility Name: BONE & JOINT CLINIC
  • Facility Address: 4633 WICHERS DRIVE
    MARRERO, LA
    ZIP 70072
  • Facility Phone: 504 347-5421
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN P. WHITNEY
  • NPI Number: 1477064616
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 19D1019068
LAB Type Physician Office
Facility Name BONE & JOINT CLINIC
Street 4633 WICHERS DRIVE
City MARRERO
State LA
ZIP 70072
Phone 504 347-5421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director SUSAN P. WHITNEY

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