19D2115318 CLIA NUMBER - OCHSNER HEALTH CENTER-WESTSIDE PEDIATRIC

Laboratory Demographics

  • CLIA Code: 19D2115318
  • Facility Name: OCHSNER HEALTH CENTER-WESTSIDE PEDIATRIC
  • Facility Address: 4225 LAPALCO BLVD
    MARRERO, LA
    ZIP 70072
  • Facility Phone: 504 391-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AVERY H. SAMPSON
  • NPI Number: 1336348382
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 19D2115318
LAB Type Physician Office
Facility Name OCHSNER HEALTH CENTER-WESTSIDE PEDIATRIC
Street 4225 LAPALCO BLVD
City MARRERO
State LA
ZIP 70072
Phone 504 391-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2024
Certificate Expiration Date 7/4/2026
Facility Type Physician Office
Lab Director AVERY H. SAMPSON

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