19D2116876 CLIA NUMBER - GENTILLY DIALYSIS

Laboratory Demographics

  • CLIA Code: 19D2116876
  • Facility Name: GENTILLY DIALYSIS
  • Facility Address: 4720 PARIS AVE
    NEW ORLEANS, LA
    ZIP 70122
  • Facility Phone: 504 283-9098
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN A. MORSE
  • NPI Number: 1629436845
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2116876
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GENTILLY DIALYSIS
Street 4720 PARIS AVE
City NEW ORLEANS
State LA
ZIP 70122
Phone 504 283-9098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director STEPHEN A. MORSE

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