19D0649259 CLIA NUMBER - SOUTHERN HILLS HEALTHCARE & REHABILITATION

Laboratory Demographics

  • CLIA Code: 19D0649259
  • Facility Name: SOUTHERN HILLS HEALTHCARE & REHABILITATION
  • Facility Address: 9105 BAIRD ROAD
    SHREVEPORT, LA
    ZIP 71118
  • Facility Phone: 318 688-6691
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOSHUA HUMPHREY
  • NPI Number: 1215923727
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0649259
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHERN HILLS HEALTHCARE & REHABILITATION
Street 9105 BAIRD ROAD
City SHREVEPORT
State LA
ZIP 71118
Phone 318 688-6691
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 JOSHUA HUMPHREY

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