19D2323025 CLIA NUMBER - PONTCHARTRAIN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 19D2323025
  • Facility Name: PONTCHARTRAIN PEDIATRICS
  • Facility Address: 1304 WASHINGTON STREET
    FRANKLINTON, LA
    ZIP 70438
  • Facility Phone: 985 893-8505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLY O. LONDEREE
  • NPI Number: 1881727691
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 19D2323025
LAB Type Physician Office
Facility Name PONTCHARTRAIN PEDIATRICS
Street 1304 WASHINGTON STREET
City FRANKLINTON
State LA
ZIP 70438
Phone 985 893-8505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director KELLY O. LONDEREE

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