19D1064168 CLIA NUMBER - SUNNYSIDE FAMILY HEALTH LLC

Laboratory Demographics

CLIA Number: 19D1064168

Facility Name: SUNNYSIDE FAMILY HEALTH LLC

Facility Address:
4420 CONLIN STREET, SUITE 305
METAIRIE, LA
ZIP 70006
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Facility Phone Number: 504 464-8883

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780728642

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	19D1064168
LAB Type	Physician Office
Facility Name	SUNNYSIDE FAMILY HEALTH LLC
Street	4420 CONLIN STREET, SUITE 305
City	METAIRIE
State	LA
ZIP	70006
Phone	504 464-8883
CertificateType	4
CertificateEffectiveDate	1/30/2023
CertificateExpirationDate	1/29/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024