19D2307043 CLIA NUMBER - PELICAN AMBULANCE, LLC

Laboratory Demographics

  • CLIA Code: 19D2307043
  • Facility Name: PELICAN AMBULANCE, LLC
  • Facility Address: 4323 DIVISION ST, STE 100
    METAIRIE, LA
    ZIP 70002
  • Facility Phone: 504 603-6934
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: TIFFANY A. BRINSTON
  • NPI Number: 1730867896
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 19D2307043
LAB Type Ambulance
Facility Name PELICAN AMBULANCE, LLC
Street 4323 DIVISION ST, STE 100
City METAIRIE
State LA
ZIP 70002
Phone 504 603-6934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Ambulance
Lab Director TIFFANY A. BRINSTON

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