19D0919373 CLIA NUMBER - LULING LIVING CENTER

Laboratory Demographics

  • CLIA Code: 19D0919373
  • Facility Name: LULING LIVING CENTER
  • Facility Address: 1125 PAUL MAILLARD ROAD
    LULING, LA
    ZIP 70070
  • Facility Phone: 985 240-0197
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL GUILLERA
  • NPI Number: 1730284811
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0919373
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LULING LIVING CENTER
Street 1125 PAUL MAILLARD ROAD
City LULING
State LA
ZIP 70070
Phone 985 240-0197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MICHAEL GUILLERA

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