19D0690816 CLIA NUMBER - LE GRAND HEALTHCARE & REHABILITATION CENTER HILLVIEW NURSING HOME, INC

Laboratory Demographics

  • CLIA Code: 19D0690816
  • Facility Name: LE GRAND HEALTHCARE & REHABILITATION CENTER HILLVIEW NURSING HOME, INC
  • Facility Address: 650 HOLT STREET
    BASTROP, LA
    ZIP 71220
  • Facility Phone: 318 281-0322
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WANDA CHAFFORD
  • NPI Number: 1649267915
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0690816
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LE GRAND HEALTHCARE & REHABILITATION CENTER HILLVIEW NURSING HOME, INC
Street 650 HOLT STREET
City BASTROP
State LA
ZIP 71220
Phone 318 281-0322
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WANDA CHAFFORD

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