19D0888529 CLIA NUMBER - 2907 BASILE SNF LLC

Laboratory Demographics

  • CLIA Code: 19D0888529
  • Facility Name: 2907 BASILE SNF LLC
  • Facility Address: 2907 EAST SCHAMBERS
    BASILE, LA
    ZIP 70515
  • Facility Phone: 337 735-7727
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMBER RIDER
  • NPI Number: 1780627430
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0888529
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 2907 BASILE SNF LLC
Street 2907 EAST SCHAMBERS
City BASILE
State LA
ZIP 70515
Phone 337 735-7727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMBER RIDER

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