19D2170118 CLIA NUMBER - LOUISIANA ACADEMIC HEALTH NETWORK

Laboratory Demographics

CLIA Number: 19D2170118

Facility Name: LOUISIANA ACADEMIC HEALTH NETWORK

Facility Address:
1201 S ROMAN ST
NEW ORLEANS, LA
ZIP 70125
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Facility Phone Number: 504 324-7500

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1205031044

Taxonomy: 2084P0804X - Psychiatry & Neurology
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

CLIA Record

Field Name	Field Value
CLIA Number	19D2170118
LAB Type	School/Student Health Service
Facility Name	LOUISIANA ACADEMIC HEALTH NETWORK
Street	1201 S ROMAN ST
City	NEW ORLEANS
State	LA
ZIP	70125
Phone	504 324-7500
CertificateType	4
CertificateEffectiveDate	8/2/2023
CertificateExpirationDate	8/1/2025
FacilityType	Waiver

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