Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
19D0914222
|
|
Clinical laboratory number
|
|
Lab Name
|
M CLAIRE WIEGAND, MD
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
985-259-4318
|
|
Laboratory telephone number
|
|
Fax
|
985-259-4153
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2250 GAUSE BLVD EAST,SUITE 200
|
|
Primary location adress line
|
|
City
|
SLIDELL
|
|
Primary location city name
|
|
State
|
LA
|
|
Primary location state name
|
|
Zip
|
70461-4235
|
|
Primary location postal code
|