19D0881888 CLIA NUMBER - AMELIA MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 19D0881888
  • Facility Name: AMELIA MANOR NURSING HOME
  • Facility Address: 903 CENTER STREET
    LAFAYETTE, LA
    ZIP 70501
  • Facility Phone: 337 234-7331
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELLA BETH GOETSCHIVS
  • NPI Number: 1932197050
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0881888
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AMELIA MANOR NURSING HOME
Street 903 CENTER STREET
City LAFAYETTE
State LA
ZIP 70501
Phone 337 234-7331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ELLA BETH GOETSCHIVS

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