19D1073260 CLIA NUMBER - COMMUNITY CARE HOSPITAL

Laboratory Demographics

CLIA Number: 19D1073260

Facility Name: COMMUNITY CARE HOSPITAL

Facility Address:
1421 GENERAL TAYLOR STREET
NEW ORLEANS, LA
ZIP 70115
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Facility Phone Number: 504 899-2500

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1891215976

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	19D1073260
LAB Type	Hospital
Facility Name	COMMUNITY CARE HOSPITAL
Street	1421 GENERAL TAYLOR STREET
City	NEW ORLEANS
State	LA
ZIP	70115
Phone	504 899-2500
CertificateType	4
CertificateEffectiveDate	9/5/2023
CertificateExpirationDate	9/4/2025
FacilityType	Waiver

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