19D1099414 CLIA NUMBER - MICHAEL DESALVO MD AMED CORP MICHAEL DESALVO MD JOSEPH CREELY JR MD GERALD VOCK

Laboratory Demographics

  • CLIA Code: 19D1099414
  • Facility Name: MICHAEL DESALVO MD AMED CORP MICHAEL DESALVO MD JOSEPH CREELY JR MD GERALD VOCK
  • Facility Address: 3645 HOUMA BOULEVARD
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 885-4677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL G. DE SALVO
  • NPI Number: 1477504397
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 19D1099414
LAB Type Physician Office
Facility Name MICHAEL DESALVO MD AMED CORP MICHAEL DESALVO MD JOSEPH CREELY JR MD GERALD VOCK
Street 3645 HOUMA BOULEVARD
City METAIRIE
State LA
ZIP 70006
Phone 504 885-4677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Physician Office
Lab Director MICHAEL G. DE SALVO

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