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MAGNOLIA HEALTH COLLECTIVE LLC
NPI 1154205011
Clinic/Center in New Orleans, LA

Active since August 04, 2025CLIA 19D2316530 · Waiver
5217 ARTS ST, NEW ORLEANS, LA 70122(912) 381-3811 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Magnolia Health Collective Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA HEALTH COLLECTIVE LLC (NPI 1154205011) is a healthcare organization registered as a clinic/center in New Orleans, Louisiana and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through January 6, 2027 and lists Andrew Allen Davenport, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1154205011
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMAGNOLIA HEALTH COLLECTIVE LLC
Location Address5217 ARTS STNew Orleans, LA 70122-5142
Mailing Address5217 Arts StNew Orleans, LA 70122-5142 · (912) 381-3811
Phone(912) 381-3811
Organization SubpartNo
Authorized OfficialAndrew Allen DavenportNurse Practitioner · (912) 381-3811
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1154205011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5217 ARTS ST, New Orleans, LA 70122
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2316530

Magnolia Health Collective · New Orleans, LA
Active · expires Jan 6, 2027
CLIA Number19D2316530
Laboratory TypeMobile Laboratory
Certificate Effective DateJanuary 7, 2025
Certificate Expiration DateJanuary 6, 2027
Laboratory DirectorAndrew A. Davenport
Laboratory Phone(504) 300-9060
Laboratory LocationMagnolia Health Collective3157 Gentilly Blvd #2243, New Orleans, LA 70122
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magnolia Health Collective LLC's NPI number?

The NPI number for Magnolia Health Collective LLC is 1154205011. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Magnolia Health Collective LLC located?

Magnolia Health Collective LLC is located at 5217 Arts St, New Orleans, LA 70122. The listed phone number is (912) 381-3811.

What is Magnolia Health Collective LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Magnolia Health Collective LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2316530) is associated with this NPI, valid through January 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Magnolia Health Collective LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.