19D2167925 CLIA NUMBER - PRIMARY CARE PLUS

Laboratory Demographics

  • CLIA Code: 19D2167925
  • Facility Name: PRIMARY CARE PLUS
  • Facility Address: 1520 GAUSE BLVD
    SLIDELL, LA
    ZIP 70458
  • Facility Phone: 985 726-3350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIGUEL A. CULASSO
  • NPI Number: 1639326812
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2167925
LAB Type Physician Office
Facility Name PRIMARY CARE PLUS
Street 1520 GAUSE BLVD
City SLIDELL
State LA
ZIP 70458
Phone 985 726-3350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director MIGUEL A. CULASSO

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