19D2009342 CLIA NUMBER - OCHSNER FAMILY DOCTOR CLINIC - MATHEWS

Laboratory Demographics

  • CLIA Code: 19D2009342
  • Facility Name: OCHSNER FAMILY DOCTOR CLINIC - MATHEWS
  • Facility Address: 111 ACADIA PARK DRIVE
    RACELAND, LA
    ZIP 70394
  • Facility Phone: 985 537-7575
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACK HEIDENREICH
  • NPI Number: 1770894800
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2009342
LAB Type Physician Office
Facility Name OCHSNER FAMILY DOCTOR CLINIC - MATHEWS
Street 111 ACADIA PARK DRIVE
City RACELAND
State LA
ZIP 70394
Phone 985 537-7575
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/30/2024
Certificate Expiration Date 6/29/2026
Facility Type Physician Office
Lab Director JACK HEIDENREICH

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