19D0984756 CLIA NUMBER - SOUTHEAST REGIONAL MEDICAL CENTER

Laboratory Demographics

CLIA Number: 19D0984756

Facility Name: SOUTHEAST REGIONAL MEDICAL CENTER

Facility Address:
719 AVENUE G
KENTWOOD, LA
ZIP 70444
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Facility Phone Number: 337 603-6365

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1255448247

Taxonomy: 282E00000X - Long Term Care Hospital
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

CLIA Record

Field Name	Field Value
CLIA Number	19D0984756
LAB Type	Hospital
Facility Name	SOUTHEAST REGIONAL MEDICAL CENTER
Street	719 AVENUE G
City	KENTWOOD
State	LA
ZIP	70444
Phone	337 603-6365
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

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