19D1040937 CLIA NUMBER - GRACE HOME HEALTH NATIONS HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 19D1040937
  • Facility Name: GRACE HOME HEALTH NATIONS HEALTHCARE, LLC
  • Facility Address: 1602 W PINHOOK ROAD, SUITE 301
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 889-5950
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALICIA MANNING
  • NPI Number: 1932579414
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 19D1040937
LAB Type Home Health Agency
Facility Name GRACE HOME HEALTH NATIONS HEALTHCARE, LLC
Street 1602 W PINHOOK ROAD, SUITE 301
City LAFAYETTE
State LA
ZIP 70508
Phone 337 889-5950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Home Health Agency
Lab Director ALICIA MANNING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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