19D2115261 CLIA NUMBER - ROSS HOGAN MD, NORTHSHORE

Laboratory Demographics

  • CLIA Code: 19D2115261
  • Facility Name: ROSS HOGAN MD, NORTHSHORE
  • Facility Address: 4228 HOUMA BLVD, SUITE 310
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 985 892-4544
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROSS M. HOGAN
  • NPI Number: 1255591285
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 19D2115261
LAB Type Physician Office
Facility Name ROSS HOGAN MD, NORTHSHORE
Street 4228 HOUMA BLVD, SUITE 310
City METAIRIE
State LA
ZIP 70006
Phone 985 892-4544
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director ROSS M. HOGAN

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