19D2186604 CLIA NUMBER - OPEN VASCULAR ACCESS CENTER

Laboratory Demographics

  • CLIA Code: 19D2186604
  • Facility Name: OPEN VASCULAR ACCESS CENTER
  • Facility Address: 3106 HOUMA BLVD
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 900-3106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW K. SANGER
  • NPI Number: 1780211920
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2186604
LAB Type Physician Office
Facility Name OPEN VASCULAR ACCESS CENTER
Street 3106 HOUMA BLVD
City METAIRIE
State LA
ZIP 70006
Phone 504 900-3106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director MATTHEW K. SANGER

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