19D2073129 CLIA NUMBER - OCHSNER URGENT CARE MANDEVILLE

Laboratory Demographics

  • CLIA Code: 19D2073129
  • Facility Name: OCHSNER URGENT CARE MANDEVILLE
  • Facility Address: 2735 HIGHWAY 190, SUITE D
    MANDEVILLE, LA
    ZIP 70471
  • Facility Phone: 985 778-2510
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJSA NIKOLIC
  • NPI Number: 1346789138
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2073129
LAB Type Physician Office
Facility Name OCHSNER URGENT CARE MANDEVILLE
Street 2735 HIGHWAY 190, SUITE D
City MANDEVILLE
State LA
ZIP 70471
Phone 985 778-2510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director AJSA NIKOLIC

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