19D1007109 CLIA NUMBER - RIVERSIDE HOSPITAL OF LOUISIANA

Laboratory Demographics

CLIA Number: 19D1007109

Facility Name: RIVERSIDE HOSPITAL OF LOUISIANA

Facility Address:
13 HEYMAN LANE
ALEXANDRIA, LA
ZIP 71303
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Facility Phone Number: 318 767-2900

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1629039193

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	19D1007109
LAB Type	Hospital
Facility Name	RIVERSIDE HOSPITAL OF LOUISIANA
Street	13 HEYMAN LANE
City	ALEXANDRIA
State	LA
ZIP	71303
Phone	318 767-2900
CertificateType	4
CertificateEffectiveDate	12/9/2022
CertificateExpirationDate	12/8/2024
FacilityType	Waiver

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