19D1030693 CLIA NUMBER - FIRST OPTION HOME HEALTH

Laboratory Demographics

CLIA Number: 19D1030693

Facility Name: FIRST OPTION HOME HEALTH

Facility Address:
4906 AMBASSADOR CAFFERY PARKWAY BLDG A SUITE 1
LAFAYETTE, LA
ZIP 70508
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Facility Phone Number: 337 235-9741

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1063597029

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 19D1030693
LAB Type Home Health Agency
Facility Name FIRST OPTION HOME HEALTH
Street 4906 AMBASSADOR CAFFERY PARKWAY BLDG A SUITE 1
City LAFAYETTE
State LA
ZIP 70508
Phone 337 235-9741
CertificateType 4
CertificateEffectiveDate 9/13/2022
CertificateExpirationDate 9/12/2024
FacilityType Waiver

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