19D2312254 CLIA NUMBER - MDC MOBILE PHLEBOTOMY LLC

Laboratory Demographics

  • CLIA Code: 19D2312254
  • Facility Name: MDC MOBILE PHLEBOTOMY LLC
  • Facility Address: 15052 W CLUB DELUXE RD
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 504 812-4528
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SAKIE M. MERRELL
  • NPI Number: 1366272296
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2312254
LAB Type Mobile Laboratory
Facility Name MDC MOBILE PHLEBOTOMY LLC
Street 15052 W CLUB DELUXE RD
City HAMMOND
State LA
ZIP 70403
Phone 504 812-4528
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Mobile Laboratory
Lab Director SAKIE M. MERRELL

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