19D1054226 CLIA NUMBER - POYDRAS HOME

Laboratory Demographics

  • CLIA Code: 19D1054226
  • Facility Name: POYDRAS HOME
  • Facility Address: 5354 MAGAZINE STREET
    NEW ORLEANS, LA
    ZIP 70115
  • Facility Phone: 504 897-0535
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN S. RIVE
  • NPI Number: 1770821522
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D1054226
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name POYDRAS HOME
Street 5354 MAGAZINE STREET
City NEW ORLEANS
State LA
ZIP 70115
Phone 504 897-0535
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOHN S. RIVE

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