19D1082908 CLIA NUMBER - ADVANCED MEDICAL MANAGEMENT

Laboratory Demographics

  • CLIA Code: 19D1082908
  • Facility Name: ADVANCED MEDICAL MANAGEMENT
  • Facility Address: 3440 DIVISION STREET, SUITE I
    METAIRIE, LA
    ZIP 70002
  • Facility Phone: 601 916-4317
  • Facility Type: Other - CLINIC LAB
  • Facility Type: Waiver
  • Lab Director: MARCIA R. MILLER
  • NPI Number: 1922488485
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 19D1082908
LAB Type Other - CLINIC LAB
Facility Name ADVANCED MEDICAL MANAGEMENT
Street 3440 DIVISION STREET, SUITE I
City METAIRIE
State LA
ZIP 70002
Phone 601 916-4317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Other - CLINIC LAB
Lab Director MARCIA R. MILLER

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