19D1040012 CLIA NUMBER - PACE GREATER NEW ORLEANS

Laboratory Demographics

  • CLIA Code: 19D1040012
  • Facility Name: PACE GREATER NEW ORLEANS
  • Facility Address: 4201 N RAMPART
    NEW ORLEANS, LA
    ZIP 70117
  • Facility Phone: 504 227-3491
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANTONIO DIAS
  • NPI Number: 1164558490
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 19D1040012
LAB Type Other
Facility Name PACE GREATER NEW ORLEANS
Street 4201 N RAMPART
City NEW ORLEANS
State LA
ZIP 70117
Phone 504 227-3491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Other
Lab Director ANTONIO DIAS

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