19D2132402 CLIA NUMBER - SLENT SURGERY CENTER SLENT INVESTMENTS, LLC

Laboratory Demographics

  • CLIA Code: 19D2132402
  • Facility Name: SLENT SURGERY CENTER SLENT INVESTMENTS, LLC
  • Facility Address: 1420 NORTH CAUSEWAY BLVD #B
    MANDEVILLE, LA
    ZIP 70471
  • Facility Phone: 985 951-3200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JASON M. GUILLOT
  • NPI Number: 1134590912
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2132402
LAB Type Ambulatory Surgery Center
Facility Name SLENT SURGERY CENTER SLENT INVESTMENTS, LLC
Street 1420 NORTH CAUSEWAY BLVD #B
City MANDEVILLE
State LA
ZIP 70471
Phone 985 951-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Ambulatory Surgery Center
Lab Director JASON M. GUILLOT

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