19D1043372 CLIA NUMBER - FREEDOM BEHAVIORAL HOSPITAL OF BASTROP TDPK, LLC

Laboratory Demographics

  • CLIA Code: 19D1043372
  • Facility Name: FREEDOM BEHAVIORAL HOSPITAL OF BASTROP TDPK, LLC
  • Facility Address: 4673 EUGENE WARE BLVD
    BASTROP, LA
    ZIP 71220
  • Facility Phone: 318 281-2448
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: THOMAS C. DANSBY
  • NPI Number: 1598383358
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D1043372
LAB Type Hospital
Facility Name FREEDOM BEHAVIORAL HOSPITAL OF BASTROP TDPK, LLC
Street 4673 EUGENE WARE BLVD
City BASTROP
State LA
ZIP 71220
Phone 318 281-2448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2023
Certificate Expiration Date 7/21/2025
Facility Type Hospital
Lab Director THOMAS C. DANSBY

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This page was last updated on: 6/4/2025