19D2117935 CLIA NUMBER - PELICAN PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 19D2117935
  • Facility Name: PELICAN PRIMARY CARE
  • Facility Address: 3801 HOUMA BLVD, STE 100
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 309-8135
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MELISSA RESTIVO
  • NPI Number: 1730633926
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2117935
LAB Type Physician Office
Facility Name PELICAN PRIMARY CARE
Street 3801 HOUMA BLVD, STE 100
City METAIRIE
State LA
ZIP 70006
Phone 504 309-8135
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director MELISSA RESTIVO

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