19D2302626 CLIA NUMBER - CHALMETTE WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 19D2302626
  • Facility Name: CHALMETTE WELLNESS CLINIC
  • Facility Address: 1013 WEST JUDGE PEREZ DR
    CHALMETTE, LA
    ZIP 70043
  • Facility Phone: 504 272-0115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN G. WORK
  • NPI Number: 1740045509
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2302626
LAB Type Physician Office
Facility Name CHALMETTE WELLNESS CLINIC
Street 1013 WEST JUDGE PEREZ DR
City CHALMETTE
State LA
ZIP 70043
Phone 504 272-0115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director KEVIN G. WORK

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