19D2303985 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE-MID-CITY

Laboratory Demographics

  • CLIA Code: 19D2303985
  • Facility Name: CENTERWELL SENIOR PRIMARY CARE-MID-CITY
  • Facility Address: 4101 S CARROLLTON AVE
    NEW ORLEANS, LA
    ZIP 70119
  • Facility Phone: 504 446-1390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EARL L. MAGEE
  • NPI Number: 1487428488
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2303985
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE-MID-CITY
Street 4101 S CARROLLTON AVE
City NEW ORLEANS
State LA
ZIP 70119
Phone 504 446-1390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Physician Office
Lab Director EARL L. MAGEE

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