19D2014890 CLIA NUMBER - AVENUES RECOVERY CENTER OF NEW ORLEANS PENN 123, LLC

Laboratory Demographics

  • CLIA Code: 19D2014890
  • Facility Name: AVENUES RECOVERY CENTER OF NEW ORLEANS PENN 123, LLC
  • Facility Address: 4933 WABASH STREET
    METAIRIE, LA
    ZIP 70001
  • Facility Phone: 507 780-2766
  • Facility Type: Other - ADDICTION TREATMENT FACI
  • Facility Type: Waiver
  • Lab Director: MATTHEW ENGLER
  • NPI Number: 1932640521
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D2014890
LAB Type Other - ADDICTION TREATMENT FACI
Facility Name AVENUES RECOVERY CENTER OF NEW ORLEANS PENN 123, LLC
Street 4933 WABASH STREET
City METAIRIE
State LA
ZIP 70001
Phone 507 780-2766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Other - ADDICTION TREATMENT FACI
Lab Director MATTHEW ENGLER

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