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DIVINITY DIAGNOSTIC & WELLNESS INC
NPI 1336992437
Clinic/Center in Kenner, LA

Active since April 09, 2024CLIA 19D2309341 · Waiver
2002 20TH ST STE B202, KENNER, LA 70062(504) 667-3641 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divinity Diagnostic & Wellness Inc NPPES

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

DIVINITY DIAGNOSTIC & WELLNESS INC (NPI 1336992437) is a healthcare organization registered as a clinic/center in Kenner, Louisiana and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 12, 2026 and lists Lateda T Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1336992437
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIVINITY DIAGNOSTIC & WELLNESS INC
Location Address2002 20TH ST STE B202Kenner, LA 70062-4403
Mailing Address2002 20th St Ste B202Kenner, LA 70062-4403 · (504) 667-3641
Phone(504) 667-3641
Organization SubpartNo
Authorized OfficialLateda T WilliamsOwner · (504) 274-6023
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1336992437 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).
2002 20TH ST STE B202, Kenner, LA 70062
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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 19D2309341

Divinity Diagnostic & Wellness Inc · Kenner, LA
Active · expires Aug 12, 2026
CLIA Number19D2309341
Laboratory TypeIndependent
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorLateda T. Williams
Laboratory Phone(504) 667-3641
Laboratory LocationDivinity Diagnostic & Wellness Inc2002 20th St, Suite 202 B, Kenner, LA 70062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANDRIKA KEOIONE SMITH CMA
Technician, Other
2002 20TH ST STE B202
KENNER, LA 70062
Jefferson Parish (985) 618-0543
LATEDA WILLIAMS CMA
Technician, Other
2002 20TH ST STE B202
KENNER, LA 70062
Jefferson Parish (504) 667-3641

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 Divinity Diagnostic & Wellness Inc's NPI number?

The NPI number for Divinity Diagnostic & Wellness Inc is 1336992437. It was assigned to this organization in the NPPES registry on April 9, 2024.

Where is Divinity Diagnostic & Wellness Inc located?

Divinity Diagnostic & Wellness Inc is located at 2002 20th St Ste B202, Kenner, LA 70062. The listed phone number is (504) 667-3641.

What is Divinity Diagnostic & Wellness Inc's specialty?

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

Does Divinity Diagnostic & Wellness Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2309341) is associated with this NPI, valid through August 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Divinity Diagnostic & Wellness Inc was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.