19D2235051 CLIA NUMBER - MICHAEL R BOH CENTER, THE CHILD DEVELOPMENT & PEDIATRIC SPECIALTIES

Laboratory Demographics

  • CLIA Code: 19D2235051
  • Facility Name: MICHAEL R BOH CENTER, THE CHILD DEVELOPMENT & PEDIATRIC SPECIALTIES
  • Facility Address: 1319 JEFFERSON HIGHWAY, SUITE 201
    NEW ORLEANS, LA
    ZIP 70121
  • Facility Phone: 225 791-8449
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM LENNARZ
  • NPI Number: 1659044147
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 19D2235051
LAB Type Physician Office
Facility Name MICHAEL R BOH CENTER, THE CHILD DEVELOPMENT & PEDIATRIC SPECIALTIES
Street 1319 JEFFERSON HIGHWAY, SUITE 201
City NEW ORLEANS
State LA
ZIP 70121
Phone 225 791-8449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Physician Office
Lab Director WILLIAM LENNARZ

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