19D2195034 CLIA NUMBER - HOPE COMMUNITY HEALTH CENTER

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Laboratory Demographics

CLIA Number: 19D2195034

Facility Name: HOPE COMMUNITY HEALTH CENTER

Facility Address:
701 LOYOLA AVENUE, SUITE 108
NEW ORLEANS, LA
ZIP 70113
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Facility Phone Number: 504 503-0878

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1013579804

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2195034
LAB Type	Community Clinic
Facility Name	HOPE COMMUNITY HEALTH CENTER
Street	701 LOYOLA AVENUE, SUITE 108
City	NEW ORLEANS
State	LA
ZIP	70113
Phone	504 503-0878
CertificateType	4
CertificateEffectiveDate	10/6/2022
CertificateExpirationDate	10/5/2024
FacilityType	Waiver

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