19D2291245 CLIA NUMBER - FLEUR DE LIS LABS, LLC

Laboratory Demographics

  • CLIA Code: 19D2291245
  • Facility Name: FLEUR DE LIS LABS, LLC
  • Facility Address: 1927 CORPORATE SQUARE DR, STE C
    SLIDELL, LA
    ZIP 70458
  • Facility Phone: 985 635-4585
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KRISHONNA R. BURKE
  • NPI Number: 1548049323
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 19D2291245
LAB Type Mobile Laboratory
Facility Name FLEUR DE LIS LABS, LLC
Street 1927 CORPORATE SQUARE DR, STE C
City SLIDELL
State LA
ZIP 70458
Phone 985 635-4585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Mobile Laboratory
Lab Director KRISHONNA R. BURKE

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