19D0648926 CLIA NUMBER - HERITAGE MANOR OF HAMMOND

Laboratory Demographics

  • CLIA Code: 19D0648926
  • Facility Name: HERITAGE MANOR OF HAMMOND
  • Facility Address: 1300 DEREK DRIVE
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 504 345-7210
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES R. GENOVES SR
  • NPI Number: 1740849405
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D0648926
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE MANOR OF HAMMOND
Street 1300 DEREK DRIVE
City HAMMOND
State LA
ZIP 70403
Phone 504 345-7210
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 CHARLES R. GENOVES SR

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