19D1055754 CLIA NUMBER - ST JOHN VA OPC

Laboratory Demographics

  • CLIA Code: 19D1055754
  • Facility Name: ST JOHN VA OPC
  • Facility Address: 247 VETERANS BLVD
    RESERVE, LA
    ZIP 70084
  • Facility Phone: 504 589-5211
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: GIOVANNI LORUSSO
  • NPI Number: 1679626998
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 19D1055754
LAB Type Community Clinic
Facility Name ST JOHN VA OPC
Street 247 VETERANS BLVD
City RESERVE
State LA
ZIP 70084
Phone 504 589-5211
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/26/2006
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director GIOVANNI LORUSSO

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