19D2191925 CLIA NUMBER - CHILDREN'S HOSPITAL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D2191925
  • Facility Name: CHILDREN'S HOSPITAL PEDIATRICS
  • Facility Address: 200 HENRY CLAY AVE
    NEW ORLEANS, LA
    ZIP 70118
  • Facility Phone: 504 899-9511
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW STARK
  • NPI Number: 1225213754
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 19D2191925
LAB Type Physician Office
Facility Name CHILDREN'S HOSPITAL PEDIATRICS
Street 200 HENRY CLAY AVE
City NEW ORLEANS
State LA
ZIP 70118
Phone 504 899-9511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director MATTHEW STARK

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