19D0926470 CLIA NUMBER - NURSESOURCE HOMECARE

Laboratory Demographics

  • CLIA Code: 19D0926470
  • Facility Name: NURSESOURCE HOMECARE
  • Facility Address: 117 JULIA STREET, SUIT 7
    WEST MONROE, LA
    ZIP 71291
  • Facility Phone: 318 516-2270
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: PHILLIP CARROLL
  • NPI Number: 1437185055
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 19D0926470
LAB Type Health Fair
Facility Name NURSESOURCE HOMECARE
Street 117 JULIA STREET, SUIT 7
City WEST MONROE
State LA
ZIP 71291
Phone 318 516-2270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Health Fair
Lab Director PHILLIP CARROLL

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