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19D2161196 CLIA NUMBER - AUDUBON FERTILITY

Laboratory Demographics

CLIA Number: 19D2161196

Facility Name: AUDUBON FERTILITY

Facility Address:
4321 MAGNOLIA STREET
NEW ORLEANS, LA
ZIP 70115
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Facility Phone Number: 504 891-1390

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1730536434

Taxonomy: 261QA0006X - Clinic/Center
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)

CLIA Record

Field Name Field Value
CLIA Number 19D2161196
LAB Type Physician Office
Facility Name AUDUBON FERTILITY
Street 4321 MAGNOLIA STREET
City NEW ORLEANS
State LA
ZIP 70115
Phone 504 891-1390
CertificateType 4
CertificateEffectiveDate 1/29/2023
CertificateExpirationDate 1/28/2025
FacilityType Waiver

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