19D2024760 CLIA NUMBER - MEDA COLVIN LLC

Laboratory Demographics

  • CLIA Code: 19D2024760
  • Facility Name: MEDA COLVIN LLC
  • Facility Address: 1111 MED CENTER BLVD S555
    MARRERO, LA
    ZIP 70072
  • Facility Phone: (504) 934-8110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEDA K. COLVIN
  • NPI Number: 1669605721
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 19D2024760
LAB Type Physician Office
Facility Name MEDA COLVIN LLC
Street 1111 MED CENTER BLVD S555
City MARRERO
State LA
ZIP 70072
Phone 5049348110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Physician Office
Lab Director MEDA K. COLVIN

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This page was last updated on: 5/18/2026