19D2119086 CLIA NUMBER - SLIDELL MEMORIAL HOSPITAL EAST

Laboratory Demographics

  • CLIA Code: 19D2119086
  • Facility Name: SLIDELL MEMORIAL HOSPITAL EAST
  • Facility Address: 100 MEDICAL CENTER DRIVE
    SLIDELL, LA
    ZIP 70461
  • Facility Phone: 985 646-5060
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: AQIB SULTAN
  • NPI Number: 1245597822
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2119086
LAB Type Hospital
Facility Name SLIDELL MEMORIAL HOSPITAL EAST
Street 100 MEDICAL CENTER DRIVE
City SLIDELL
State LA
ZIP 70461
Phone 985 646-5060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Hospital
Lab Director AQIB SULTAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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