19D0672441 CLIA NUMBER - LEGACY NURSING & REHABILATION OF WINNSBORO

Laboratory Demographics

  • CLIA Code: 19D0672441
  • Facility Name: LEGACY NURSING & REHABILATION OF WINNSBORO
  • Facility Address: 804 POLK STREET
    WINNSBORO, LA
    ZIP 71295
  • Facility Phone: 318 435-6116
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHEILA PERRY
  • NPI Number: 1275180655
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0672441
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEGACY NURSING & REHABILATION OF WINNSBORO
Street 804 POLK STREET
City WINNSBORO
State LA
ZIP 71295
Phone 318 435-6116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SHEILA PERRY

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