19D1022094 CLIA NUMBER - OMNI HOME CARE

Laboratory Demographics

  • CLIA Code: 19D1022094
  • Facility Name: OMNI HOME CARE
  • Facility Address: 68445 TAMMANY TRACE DRIVE
    MANDEVILLE, LA
    ZIP 70471
  • Facility Phone: 985 674-5175
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LAURIE BRAUWN
  • NPI Number: 1215003827
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 19D1022094
LAB Type Home Health Agency
Facility Name OMNI HOME CARE
Street 68445 TAMMANY TRACE DRIVE
City MANDEVILLE
State LA
ZIP 70471
Phone 985 674-5175
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Home Health Agency
Lab Director LAURIE BRAUWN

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