19D1064056 CLIA NUMBER - ST TAMMANY FIRE PROTECTION DISTRICT #11

Laboratory Demographics

  • CLIA Code: 19D1064056
  • Facility Name: ST TAMMANY FIRE PROTECTION DISTRICT #11
  • Facility Address: 64279 HWY 3081
    PEARL RIVER, LA
    ZIP 70452
  • Facility Phone: 985 256-4704
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATTHEW L. PARISH
  • NPI Number: 1578617593
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D1064056
LAB Type Ambulance
Facility Name ST TAMMANY FIRE PROTECTION DISTRICT #11
Street 64279 HWY 3081
City PEARL RIVER
State LA
ZIP 70452
Phone 985 256-4704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Ambulance
Lab Director MATTHEW L. PARISH

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