19D2270840 CLIA NUMBER - CROSS OVER THERAPY

Laboratory Demographics

  • CLIA Code: 19D2270840
  • Facility Name: CROSS OVER THERAPY
  • Facility Address: 206 CLINIC DRIVE
    DONALDSONVILLE, LA
    ZIP 70346
  • Facility Phone: 225 264-6670
  • Facility Type: Other - BEHAVIORAL HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: ROCHELLE FERNANDEZ
  • NPI Number: 1760939045
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2270840
LAB Type Other - BEHAVIORAL HEALTH CLINIC
Facility Name CROSS OVER THERAPY
Street 206 CLINIC DRIVE
City DONALDSONVILLE
State LA
ZIP 70346
Phone 225 264-6670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Other - BEHAVIORAL HEALTH CLINIC
Lab Director ROCHELLE FERNANDEZ

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