19D2316320 CLIA NUMBER - DR JOHN M WISE LLC

Laboratory Demographics

  • CLIA Code: 19D2316320
  • Facility Name: DR JOHN M WISE LLC
  • Facility Address: 2820 NAPOLEON AVENUE SUITE 460
    NEW ORLEANS, LA
    ZIP 70115
  • Facility Phone: 504 321-7600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN M. WISE
  • NPI Number: 1124488630
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D2316320
LAB Type Physician Office
Facility Name DR JOHN M WISE LLC
Street 2820 NAPOLEON AVENUE SUITE 460
City NEW ORLEANS
State LA
ZIP 70115
Phone 504 321-7600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Physician Office
Lab Director JOHN M. WISE

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