05D0674220 CLIA NUMBER - GREENBRIAR NURSING HOME

Laboratory Demographics

  • CLIA Code: 05D0674220
  • Facility Name: GREENBRIAR NURSING HOME
  • Facility Address: 505 ROBERT BLVD
    SLIDELL, LA
    ZIP 70458
  • Facility Phone: 504 643-6900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LILLY A. POPE
  • NPI Number: 1083650840
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0674220
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GREENBRIAR NURSING HOME
Street 505 ROBERT BLVD
City SLIDELL
State LA
ZIP 70458
Phone 504 643-6900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LILLY A. POPE

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This page was last updated on: 9/29/2025