19D2091377 CLIA NUMBER - AHL SBHC PARADIS LA ACCESS HEALTH LA

Laboratory Demographics

  • CLIA Code: 19D2091377
  • Facility Name: AHL SBHC PARADIS LA ACCESS HEALTH LA
  • Facility Address: 434 SOUTH ST
    PARADIS, LA
    ZIP 70080
  • Facility Phone: 504 575-3712
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: KEVIN O. JOSEPH
  • NPI Number: 1104239482
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2091377
LAB Type Federally Qualified Health Center
Facility Name AHL SBHC PARADIS LA ACCESS HEALTH LA
Street 434 SOUTH ST
City PARADIS
State LA
ZIP 70080
Phone 504 575-3712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Federally Qualified Health Center
Lab Director KEVIN O. JOSEPH

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