19D2142226 CLIA NUMBER - OSR LOUISIANA, LLC

Laboratory Demographics

  • CLIA Code: 19D2142226
  • Facility Name: OSR LOUISIANA, LLC
  • Facility Address: 2614 JEFFERSON HIGHWAY, 4TH AND 5TH FLOORS
    JEFFERSON, LA
    ZIP 70121
  • Facility Phone: 504 291-5100
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: MIRJANA BUKARA
  • NPI Number: 1790156149
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D2142226
LAB Type Hospital
Facility Name OSR LOUISIANA, LLC
Street 2614 JEFFERSON HIGHWAY, 4TH AND 5TH FLOORS
City JEFFERSON
State LA
ZIP 70121
Phone 504 291-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Hospital
Lab Director MIRJANA BUKARA

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