19D2047670 CLIA NUMBER - HOUSE CALL PEDIATRICS

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Laboratory Demographics

CLIA Number: 19D2047670

Facility Name: HOUSE CALL PEDIATRICS

Facility Address:
3516 BANKS STREET
NEW ORLEANS, LA
ZIP 70119
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Facility Phone Number: 504 373-8480

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1255928909

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2047670
LAB Type	Practitioner Other
Facility Name	HOUSE CALL PEDIATRICS
Street	3516 BANKS STREET
City	NEW ORLEANS
State	LA
ZIP	70119
Phone	504 373-8480
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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