19D1078143 CLIA NUMBER - OCHSNER CHILDREN'S-LAKESIDE

Laboratory Demographics

  • CLIA Code: 19D1078143
  • Facility Name: OCHSNER CHILDREN'S-LAKESIDE
  • Facility Address: 4500 CLEARVIEW PKWY, 1ST FLOOR
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 842-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AVERY SAMPSON
  • NPI Number: 1710340468
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D1078143
LAB Type Physician Office
Facility Name OCHSNER CHILDREN'S-LAKESIDE
Street 4500 CLEARVIEW PKWY, 1ST FLOOR
City METAIRIE
State LA
ZIP 70006
Phone 504 842-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Physician Office
Lab Director AVERY SAMPSON

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