19D2128182 CLIA NUMBER - FOREVER KID PEDIATRIC PRACTICE

Laboratory Demographics

  • CLIA Code: 19D2128182
  • Facility Name: FOREVER KID PEDIATRIC PRACTICE
  • Facility Address: 3321 FLORIDA AVE
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 461-2224
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDITH LINARES
  • NPI Number: 1821513508
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D2128182
LAB Type Physician Office
Facility Name FOREVER KID PEDIATRIC PRACTICE
Street 3321 FLORIDA AVE
City KENNER
State LA
ZIP 70065
Phone 504 461-2224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director EDITH LINARES

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