19D1039361 CLIA NUMBER - LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE LHCG-XII, LLC

Laboratory Demographics

  • CLIA Code: 19D1039361
  • Facility Name: LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE LHCG-XII, LLC
  • Facility Address: 2810 AMBASSADOR CAFFERY PKWY, 6TH FLOOR
    LAFAYETTE, LA
    ZIP 70506
  • Facility Phone: 337 289-8180
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: LISA ALTMAN
  • NPI Number: 1225534662
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D1039361
LAB Type Hospital
Facility Name LOUISIANA EXTENDED CARE HOSPITAL OF LAFAYETTE LHCG-XII, LLC
Street 2810 AMBASSADOR CAFFERY PKWY, 6TH FLOOR
City LAFAYETTE
State LA
ZIP 70506
Phone 337 289-8180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Hospital
Lab Director LISA ALTMAN

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