19D2244865 CLIA NUMBER - NEURORESTORATIVE

Laboratory Demographics

  • CLIA Code: 19D2244865
  • Facility Name: NEURORESTORATIVE
  • Facility Address: 46448 W LEE HUGHES RD
    HAMMOND, LA
    ZIP 70401
  • Facility Phone: 225 567-4394
  • Facility Type: Other - ADULT BRAIN INJURY
  • Facility Type: Waiver
  • Lab Director: MIRIAM TRAVIS
  • NPI Number: 1710099080
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D2244865
LAB Type Other - ADULT BRAIN INJURY
Facility Name NEURORESTORATIVE
Street 46448 W LEE HUGHES RD
City HAMMOND
State LA
ZIP 70401
Phone 225 567-4394
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Other - ADULT BRAIN INJURY
Lab Director MIRIAM TRAVIS

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