19D0672794 CLIA NUMBER - LIVE OAK RETIREMENT CENTER

Laboratory Demographics

  • CLIA Code: 19D0672794
  • Facility Name: LIVE OAK RETIREMENT CENTER
  • Facility Address: 600 E FLOURNOY LUCAS ROAD
    SHREVEPORT, LA
    ZIP 71115
  • Facility Phone: 318 797-1900
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHEILA A. HOLMAN
  • NPI Number: 1619917432
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D0672794
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIVE OAK RETIREMENT CENTER
Street 600 E FLOURNOY LUCAS ROAD
City SHREVEPORT
State LA
ZIP 71115
Phone 318 797-1900
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 SHEILA A. HOLMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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