19D2050968 CLIA NUMBER - WESTWEGO DIALYSIS

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Laboratory Demographics

CLIA Number: 19D2050968

Facility Name: WESTWEGO DIALYSIS

Facility Address:
1 WESTBANK EXPRESSWAY
WESTWEGO, LA
ZIP 70094
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Facility Phone Number: 504 347-6942

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1730432386

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2050968
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	WESTWEGO DIALYSIS
Street	1 WESTBANK EXPRESSWAY
City	WESTWEGO
State	LA
ZIP	70094
Phone	504 347-6942
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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