19D1002671 CLIA NUMBER - ST JOSEPH HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 19D1002671
  • Facility Name: ST JOSEPH HOSPICE, LLC
  • Facility Address: 10615 JEFFERSON HIGHWAY
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 769-4810
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CARMEL W. DRAGO
  • NPI Number: 1093766347
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D1002671
LAB Type Hospice
Facility Name ST JOSEPH HOSPICE, LLC
Street 10615 JEFFERSON HIGHWAY
City BATON ROUGE
State LA
ZIP 70809
Phone 225 769-4810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Hospice
Lab Director CARMEL W. DRAGO

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This page was last updated on: 3/20/2025