19D2322292 CLIA NUMBER - MODALITIES RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 19D2322292
  • Facility Name: MODALITIES RECOVERY CENTER
  • Facility Address: 4228 WILLIAMS BLVD, STE 201
    KENNER, LA
    ZIP 70065
  • Facility Phone: 504 224-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA M. LEE
  • NPI Number: 1023795119
  • Taxonomy: 2081S0010X - Physical Medicine & Rehabilitation

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D2322292
LAB Type Physician Office
Facility Name MODALITIES RECOVERY CENTER
Street 4228 WILLIAMS BLVD, STE 201
City KENNER
State LA
ZIP 70065
Phone 504 224-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director LISA M. LEE

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