19D1043004 CLIA NUMBER - NORTHSHORE SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 19D1043004
  • Facility Name: NORTHSHORE SURGICAL CENTER LLC
  • Facility Address: 71207 HIGHWAY 21
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 892-6811
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SUNIL PUROHIT
  • NPI Number: 1114963501
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D1043004
LAB Type Ambulatory Surgery Center
Facility Name NORTHSHORE SURGICAL CENTER LLC
Street 71207 HIGHWAY 21
City COVINGTON
State LA
ZIP 70433
Phone 985 892-6811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Ambulatory Surgery Center
Lab Director SUNIL PUROHIT

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