19D0958625 CLIA NUMBER - AVALON PLACE

Laboratory Demographics

  • CLIA Code: 19D0958625
  • Facility Name: AVALON PLACE
  • Facility Address: 4385 OLD STERLINGTON ROAD
    MONROE, LA
    ZIP 71203
  • Facility Phone: (318) 322-2000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SARA B. MISURACA
  • NPI Number: 1396754750
  • Taxonomy: 332BN1400X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 19D0958625
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVALON PLACE
Street 4385 OLD STERLINGTON ROAD
City MONROE
State LA
ZIP 71203
Phone 3183222000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SARA B. MISURACA

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This page was last updated on: 5/18/2026