19D2060294 CLIA NUMBER - CYPRESS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D2060294
  • Facility Name: CYPRESS PEDIATRICS
  • Facility Address: 200 W ESPLANADE AVE, SUITE 314
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 305-5500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIFFANY M. HICKS
  • NPI Number: 1265772081
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2060294
LAB Type Physician Office
Facility Name CYPRESS PEDIATRICS
Street 200 W ESPLANADE AVE, SUITE 314
City KENNER
State LA
ZIP 70065
Phone 504 305-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director TIFFANY M. HICKS

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This page was last updated on: 9/29/2025