19D2130433 CLIA NUMBER - LAKE PINES HOSPITAL

Laboratory Demographics

CLIA Number: 19D2130433

Facility Name: LAKE PINES HOSPITAL

Facility Address:
3639 LOYOLA AVENUE
KENNER, LA
ZIP 70065
Get Directions

Facility Phone Number: 504 305-2700

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1326593898

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	19D2130433
LAB Type	Hospital
Facility Name	LAKE PINES HOSPITAL
Street	3639 LOYOLA AVENUE
City	KENNER
State	LA
ZIP	70065
Phone	504 305-2700
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024