CLIA lab
CLIA 19D1012403: Michael Russo, MD
Marrero, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1012403 belongs to Michael Russo, MD in Marrero, LA.
Certificate of Waiver, effective May 9, 2025, expires May 8, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 9, 2025
- Certificate expiration
- May 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 9, 2003
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D1012403
- Lab name
- Michael Russo, MD
- Address
- 1111 Medical Center Blvd, Marrero, LA 70072
- Phone
- (504) 367-8577
- Fax
- (504) 349-6811
Annual test volume the lab reported
- Waived tests
- 45
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bridgepoint Continuing Care HospitalCertificate of Accreditation, Hospital19D2058082
- Centerwell Senior Primary Care-MarreroCertificate of Waiver, Physician office19D2298926
- David A Beary, MD ApmcCertificate for Provider-Performed Microscopy Procedures, Physician office19D0957588
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Related
Questions
What is the CLIA number for Michael Russo, MD in Marrero?
19D1012403, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Michael Russo, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1012403 expire?
The CMS file lists May 8, 2027 as the certificate expiration date; the certificate took effect May 9, 2025.