19D2278004 CLIA NUMBER - LAITRAM HEALTH AND WELLNESS CENTER HAMMOND

Laboratory Demographics

  • CLIA Code: 19D2278004
  • Facility Name: LAITRAM HEALTH AND WELLNESS CENTER HAMMOND
  • Facility Address: 20157 INTRALOX DR
    HAMMOND, LA
    ZIP 70401
  • Facility Phone: 802 857-0400
  • Facility Type: Other - ONSITE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: ALLISON HOFFRITZ
  • NPI Number: 1740994045
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2278004
LAB Type Other - ONSITE HEALTH CENTER
Facility Name LAITRAM HEALTH AND WELLNESS CENTER HAMMOND
Street 20157 INTRALOX DR
City HAMMOND
State LA
ZIP 70401
Phone 802 857-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Other - ONSITE HEALTH CENTER
Lab Director ALLISON HOFFRITZ

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