19D2306488 CLIA NUMBER - OUR LADY OF WISDOM COMMUNITY CARE CENTER

Laboratory Demographics

  • CLIA Code: 19D2306488
  • Facility Name: OUR LADY OF WISDOM COMMUNITY CARE CENTER
  • Facility Address: 5600 GENERAL DEGAULLE DR
    NEW ORLEANS, LA
    ZIP 70131
  • Facility Phone: 504 394-5991
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER BROCK
  • NPI Number: 1962934505
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D2306488
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OUR LADY OF WISDOM COMMUNITY CARE CENTER
Street 5600 GENERAL DEGAULLE DR
City NEW ORLEANS
State LA
ZIP 70131
Phone 504 394-5991
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER BROCK

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