19D2326549 CLIA NUMBER - ELLOCARE LLC

Laboratory Demographics

  • CLIA Code: 19D2326549
  • Facility Name: ELLOCARE LLC
  • Facility Address: 4520 WICHERS DR SUITE 201
    MARRERO, LA
    ZIP 70072
  • Facility Phone: 504 315-1265
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ELLEN JOSEPH-RICHARD
  • NPI Number: 1609760750
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 19D2326549
LAB Type Practitioner Other
Facility Name ELLOCARE LLC
Street 4520 WICHERS DR SUITE 201
City MARRERO
State LA
ZIP 70072
Phone 504 315-1265
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Practitioner Other
Lab Director ELLEN JOSEPH-RICHARD

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