19D2233246 CLIA NUMBER - OCHSNER KIDNEY CARE - ALGIERS

Laboratory Demographics

CLIA Number: 19D2233246

Facility Name: OCHSNER KIDNEY CARE - ALGIERS

Facility Address:
4001 GENERAL DE GAULIE DRIVE
NEW ORLEANS, LA
ZIP 70114
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Facility Phone Number: 504 290-8110

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1104408095

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	19D2233246
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	OCHSNER KIDNEY CARE - ALGIERS
Street	4001 GENERAL DE GAULIE DRIVE
City	NEW ORLEANS
State	LA
ZIP	70114
Phone	504 290-8110
CertificateType	4
CertificateEffectiveDate	8/20/2023
CertificateExpirationDate	8/19/2025
FacilityType	Waiver

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