19D2019047 CLIA NUMBER - REMOTE MD

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Laboratory Demographics

CLIA Number: 19D2019047

Facility Name: REMOTE MD

Facility Address:
880 W COMMERCE RD
NEW ORLEANS, LA
ZIP 70123
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Facility Phone Number: 504 293-5959

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1386252674

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2019047
LAB Type	Practitioner Other
Facility Name	REMOTE MD
Street	880 W COMMERCE RD
City	NEW ORLEANS
State	LA
ZIP	70123
Phone	504 293-5959
CertificateType	4
CertificateEffectiveDate	2/9/2024
CertificateExpirationDate	2/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024