19D2115260 CLIA NUMBER - ROSS HOGAN MD, NORTHSHORE

Laboratory Demographics

CLIA Number: 19D2115260

Facility Name: ROSS HOGAN MD, NORTHSHORE

Facility Address:
215 E GIBSON ST
COVINGTON, LA
ZIP 70433
Get Directions

Facility Phone Number: 985 892-4544

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1255591285

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	19D2115260
LAB Type	Physician Office
Facility Name	ROSS HOGAN MD, NORTHSHORE
Street	215 E GIBSON ST
City	COVINGTON
State	LA
ZIP	70433
Phone	985 892-4544
CertificateType	3
CertificateEffectiveDate	7/1/2022
CertificateExpirationDate	6/30/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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