19D0461821 CLIA NUMBER - ROSEWOOD NURSING HOME

Laboratory Demographics

  • CLIA Code: 19D0461821
  • Facility Name: ROSEWOOD NURSING HOME
  • Facility Address: 534 E 15TH
    LAKE CHARLES, LA
    ZIP 70601
  • Facility Phone: 337 439-8338
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAULA FORTENBERRY RN BSN
  • NPI Number: 1609876192
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0461821
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROSEWOOD NURSING HOME
Street 534 E 15TH
City LAKE CHARLES
State LA
ZIP 70601
Phone 337 439-8338
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 PAULA FORTENBERRY RN BSN

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