19D1033235 CLIA NUMBER - MGA GASTROINTESTINAL DIAG & THER CTR-METAIRIE THE METAIRIE LA ENDOSCOPY ASC, LLC

Laboratory Demographics

  • CLIA Code: 19D1033235
  • Facility Name: MGA GASTROINTESTINAL DIAG & THER CTR-METAIRIE THE METAIRIE LA ENDOSCOPY ASC, LLC
  • Facility Address: 4228 HOUMA BLVD SUITE 520
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 885-3345
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VERNON CARRIERE
  • NPI Number: 1134300080
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1033235
LAB Type Ambulatory Surgery Center
Facility Name MGA GASTROINTESTINAL DIAG & THER CTR-METAIRIE THE METAIRIE LA ENDOSCOPY ASC, LLC
Street 4228 HOUMA BLVD SUITE 520
City METAIRIE
State LA
ZIP 70006
Phone 504 885-3345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Ambulatory Surgery Center
Lab Director VERNON CARRIERE

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