Healther Providers Data Logo

19D0894636 CLIA NUMBER - INTREPID USA HEALTHCARE SERVICES

Laboratory Demographics

CLIA Number: 19D0894636

Facility Name: INTREPID USA HEALTHCARE SERVICES

Facility Address:
1200 HOSPITAL DRIVE, STE 8
OPELOUSAS, LA
ZIP 70570
Get Directions

Facility Phone Number: 337 546-0997

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1851373492

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 19D0894636
LAB Type Home Health Agency
Facility Name INTREPID USA HEALTHCARE SERVICES
Street 1200 HOSPITAL DRIVE, STE 8
City OPELOUSAS
State LA
ZIP 70570
Phone 337 546-0997
CertificateType 4
CertificateEffectiveDate 11/18/2022
CertificateExpirationDate 11/17/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024