19D2298922 CLIA NUMBER - CRESCENT CITY PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 19D2298922
  • Facility Name: CRESCENT CITY PHYSICIANS INC
  • Facility Address: 6307 ELYSIAN FIELDS
    NEW ORLEANS, LA
    ZIP 70115
  • Facility Phone: 504 947-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL BOUCHETTE
  • NPI Number: 1043259005
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 19D2298922
LAB Type Physician Office
Facility Name CRESCENT CITY PHYSICIANS INC
Street 6307 ELYSIAN FIELDS
City NEW ORLEANS
State LA
ZIP 70115
Phone 504 947-7754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director DANIEL BOUCHETTE

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