19D2218177 CLIA NUMBER - OCHSNER KIDNEY CARE - JEFFERSON HIGHWAY

Laboratory Demographics

  • CLIA Code: 19D2218177
  • Facility Name: OCHSNER KIDNEY CARE - JEFFERSON HIGHWAY
  • Facility Address: 320 MAINE ST
    JEFFERSON, LA
    ZIP 70121
  • Facility Phone: 504 273-0810
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IVO LUKITSCH
  • NPI Number: 1184209900
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2218177
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OCHSNER KIDNEY CARE - JEFFERSON HIGHWAY
Street 320 MAINE ST
City JEFFERSON
State LA
ZIP 70121
Phone 504 273-0810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IVO LUKITSCH

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