05D0670862 CLIA NUMBER - PLANTATION MANOR NURSING CENTER

Laboratory Demographics

  • CLIA Code: 05D0670862
  • Facility Name: PLANTATION MANOR NURSING CENTER
  • Facility Address: 6340 HIGHWAY 4
    WINNSBORO, LA
    ZIP 71295
  • Facility Phone: 318 435-4536
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA SPENCE
  • NPI Number: 1396726444
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0670862
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLANTATION MANOR NURSING CENTER
Street 6340 HIGHWAY 4
City WINNSBORO
State LA
ZIP 71295
Phone 318 435-4536
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LISA SPENCE

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This page was last updated on: 6/4/2025