19D0460667 CLIA NUMBER - HOSPICE OF ACADIANA

Laboratory Demographics

CLIA Number: 19D0460667

Facility Name: HOSPICE OF ACADIANA

Facility Address:
2600 JOHNSTON STREET SUITE 200
LAFAYETTE, LA
ZIP 70503
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Facility Phone Number: 337 232-1234

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1346247400

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	19D0460667
LAB Type	Hospice
Facility Name	HOSPICE OF ACADIANA
Street	2600 JOHNSTON STREET SUITE 200
City	LAFAYETTE
State	LA
ZIP	70503
Phone	337 232-1234
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024