19D2115266 CLIA NUMBER - HAMMOND DIALYSIS CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 19D2115266
  • Facility Name: HAMMOND DIALYSIS CLINIC, LLC
  • Facility Address: 42286 VETERANS AVENUE
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 985 345-8855
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SOUSAN ZADEH
  • NPI Number: 1104273457
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2115266
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HAMMOND DIALYSIS CLINIC, LLC
Street 42286 VETERANS AVENUE
City HAMMOND
State LA
ZIP 70403
Phone 985 345-8855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SOUSAN ZADEH

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