19D2029023 CLIA NUMBER - ACER, LLC

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Laboratory Demographics

CLIA Number: 19D2029023

Facility Name: ACER, LLC

Facility Address:
115 CHRISTIAN LANE
SLIDELL, LA
ZIP 70458
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Facility Phone Number: 985 690-6622

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1245375203

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2029023
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	ACER, LLC
Street	115 CHRISTIAN LANE
City	SLIDELL
State	LA
ZIP	70458
Phone	985 690-6622
CertificateType	4
CertificateEffectiveDate	8/30/2023
CertificateExpirationDate	8/29/2025
FacilityType	Waiver

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