19D1081119 CLIA NUMBER - OLOL PONTCHARTRAIN SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 19D1081119
  • Facility Name: OLOL PONTCHARTRAIN SURGERY CENTER LLC
  • Facility Address: 4407 HWY 190 EAST SERVICE ROAD
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 234-9700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BLANE A. SESSIONS
  • NPI Number: 1497090740
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D1081119
LAB Type Ambulatory Surgery Center
Facility Name OLOL PONTCHARTRAIN SURGERY CENTER LLC
Street 4407 HWY 190 EAST SERVICE ROAD
City COVINGTON
State LA
ZIP 70433
Phone 985 234-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Ambulatory Surgery Center
Lab Director BLANE A. SESSIONS

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