19D0679498 CLIA NUMBER - DESOTO RETIREMENT & REHABILITATION

Laboratory Demographics

  • CLIA Code: 19D0679498
  • Facility Name: DESOTO RETIREMENT & REHABILITATION
  • Facility Address: 635 SCHLEY STREET
    MANSFIELD, LA
    ZIP 71052
  • Facility Phone: 318 872-0276
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BECKY S. INGLES
  • NPI Number: 1396728739
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0679498
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DESOTO RETIREMENT & REHABILITATION
Street 635 SCHLEY STREET
City MANSFIELD
State LA
ZIP 71052
Phone 318 872-0276
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 BECKY S. INGLES

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