19D0649397 CLIA NUMBER - CONCORDIA NURSING HOME/CAMELOT LEASURE LIVING

Laboratory Demographics

  • CLIA Code: 19D0649397
  • Facility Name: CONCORDIA NURSING HOME/CAMELOT LEASURE LIVING
  • Facility Address: 6818 HIGHWAY 84 WEST
    FERRIDAY, LA
    ZIP 71334
  • Facility Phone: 318 757-2181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TIMMY L. MYRICK
  • NPI Number: 1639116056
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0649397
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CONCORDIA NURSING HOME/CAMELOT LEASURE LIVING
Street 6818 HIGHWAY 84 WEST
City FERRIDAY
State LA
ZIP 71334
Phone 318 757-2181
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 TIMMY L. MYRICK

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