19D0889154 CLIA NUMBER - BAYSIDE SENIOR CARE, LLC

Laboratory Demographics

  • CLIA Code: 19D0889154
  • Facility Name: BAYSIDE SENIOR CARE, LLC
  • Facility Address: 3201 WALL BLVD
    GRETNA, LA
    ZIP 70056
  • Facility Phone: 504 393-1515
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARTHA DAVIS
  • NPI Number: 1598300089
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0889154
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BAYSIDE SENIOR CARE, LLC
Street 3201 WALL BLVD
City GRETNA
State LA
ZIP 70056
Phone 504 393-1515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARTHA DAVIS

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