19D2307838 CLIA NUMBER - INTEGRATED CONCIERGE - COVINGTON

Laboratory Demographics

  • CLIA Code: 19D2307838
  • Facility Name: INTEGRATED CONCIERGE - COVINGTON
  • Facility Address: 201 HOLIDAY BLVD STE 100
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 322-3005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA ROAN
  • NPI Number: 1568743375
  • Taxonomy: 208D00000X - General Practice

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2307838
LAB Type Physician Office
Facility Name INTEGRATED CONCIERGE - COVINGTON
Street 201 HOLIDAY BLVD STE 100
City COVINGTON
State LA
ZIP 70433
Phone 985 322-3005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2024
Certificate Expiration Date 7/15/2026
Facility Type Physician Office
Lab Director LAURA ROAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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