19D2181511 CLIA NUMBER - SPROUT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D2181511
  • Facility Name: SPROUT PEDIATRICS
  • Facility Address: 1041 VETERANS BLVD, SUITE 300
    METAIRIE, LA
    ZIP 70005
  • Facility Phone: 504 267-9336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GABRIELLE L. GLASGOW
  • NPI Number: 1578196804
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D2181511
LAB Type Physician Office
Facility Name SPROUT PEDIATRICS
Street 1041 VETERANS BLVD, SUITE 300
City METAIRIE
State LA
ZIP 70005
Phone 504 267-9336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director GABRIELLE L. GLASGOW

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