19D2145020 CLIA NUMBER - KREWE OF KIDS PEDIATRICS

Laboratory Demographics

CLIA Number: 19D2145020

Facility Name: KREWE OF KIDS PEDIATRICS

Facility Address:
6600 FRANKLIN AVENUE, SUITE A2
NEW ORLEANS, LA
ZIP 70122
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Facility Phone Number: 504 226-5739

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659886935

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2145020
LAB Type	Physician Office
Facility Name	KREWE OF KIDS PEDIATRICS
Street	6600 FRANKLIN AVENUE, SUITE A2
City	NEW ORLEANS
State	LA
ZIP	70122
Phone	504 226-5739
CertificateType	4
CertificateEffectiveDate	2/27/2024
CertificateExpirationDate	2/26/2026
FacilityType	Waiver

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