19D2195109 CLIA NUMBER - CORNERSTONE CHILDRENS CLINIC LLC

Laboratory Demographics

  • CLIA Code: 19D2195109
  • Facility Name: CORNERSTONE CHILDRENS CLINIC LLC
  • Facility Address: 44546 SOUTH AIRPORT RD STE F
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 985 500-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTI H. MOODY
  • NPI Number: 1780293878
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2195109
LAB Type Physician Office
Facility Name CORNERSTONE CHILDRENS CLINIC LLC
Street 44546 SOUTH AIRPORT RD STE F
City HAMMOND
State LA
ZIP 70403
Phone 985 500-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Physician Office
Lab Director KRISTI H. MOODY

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