19D0671885 CLIA NUMBER - HERITAGE MANOR WEST

Laboratory Demographics

  • CLIA Code: 19D0671885
  • Facility Name: HERITAGE MANOR WEST
  • Facility Address: 7060 COTTONWOOD BLVD
    SHREVEPORT, LA
    ZIP 71129
  • Facility Phone: 318 686-1400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIRK SAVOY
  • NPI Number: 1770541922
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0671885
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE MANOR WEST
Street 7060 COTTONWOOD BLVD
City SHREVEPORT
State LA
ZIP 71129
Phone 318 686-1400
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 KIRK SAVOY

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