19D0922366 CLIA NUMBER - BUNKIE HOMECARE LHCG-VIII LLC

Laboratory Demographics

  • CLIA Code: 19D0922366
  • Facility Name: BUNKIE HOMECARE LHCG-VIII LLC
  • Facility Address: 1123 SHIRLEY ROAD
    BUNKIE, LA
    ZIP 71322
  • Facility Phone: 318 346-3312
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMMY L. BORDELON
  • NPI Number: 1306884606
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 19D0922366
LAB Type Home Health Agency
Facility Name BUNKIE HOMECARE LHCG-VIII LLC
Street 1123 SHIRLEY ROAD
City BUNKIE
State LA
ZIP 71322
Phone 318 346-3312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Home Health Agency
Lab Director TAMMY L. BORDELON

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