19D1065481 CLIA NUMBER - CITY OF WESTWEGO EMS

Laboratory Demographics

CLIA Number: 19D1065481

Facility Name: CITY OF WESTWEGO EMS

Facility Address:
677 AVENUE H
WESTWEGO, LA
ZIP 70094
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Facility Phone Number: 504 341-2525

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1689835001

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	19D1065481
LAB Type	Ambulance
Facility Name	CITY OF WESTWEGO EMS
Street	677 AVENUE H
City	WESTWEGO
State	LA
ZIP	70094
Phone	504 341-2525
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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