19D2049333 CLIA NUMBER - LSU HEALTHCARE NETWORK

Laboratory Demographics

  • CLIA Code: 19D2049333
  • Facility Name: LSU HEALTHCARE NETWORK
  • Facility Address: 3601 HOUMA BLVD, SUITE 203
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 412-1650
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CATHY FONTENOT
  • NPI Number: 1528280641
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 19D2049333
LAB Type Community Clinic
Facility Name LSU HEALTHCARE NETWORK
Street 3601 HOUMA BLVD, SUITE 203
City METAIRIE
State LA
ZIP 70006
Phone 504 412-1650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Community Clinic
Lab Director CATHY FONTENOT

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This page was last updated on: 6/4/2025