19D0881765 CLIA NUMBER - CARROLL NURSING HOME

Laboratory Demographics

  • CLIA Code: 19D0881765
  • Facility Name: CARROLL NURSING HOME
  • Facility Address: 307 N CASTLEMAN STREET
    OAK GROVE, LA
    ZIP 71263
  • Facility Phone: 318 428-3249
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBORAH MANDEVILLE, RN, DON
  • NPI Number: 1740268739
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0881765
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARROLL NURSING HOME
Street 307 N CASTLEMAN STREET
City OAK GROVE
State LA
ZIP 71263
Phone 318 428-3249
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEBORAH MANDEVILLE, RN, DON

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