19D1053495 CLIA NUMBER - AMEDISYS HOME HEALTH AMEDISYS LOUISIANA, LLC

Laboratory Demographics

  • CLIA Code: 19D1053495
  • Facility Name: AMEDISYS HOME HEALTH AMEDISYS LOUISIANA, LLC
  • Facility Address: 4015 COMMON STREET
    LAKE CHARLES, LA
    ZIP 70607
  • Facility Phone: 337 477-9820
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: APRIL DRAKE
  • NPI Number: 1750609384
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 19D1053495
LAB Type Home Health Agency
Facility Name AMEDISYS HOME HEALTH AMEDISYS LOUISIANA, LLC
Street 4015 COMMON STREET
City LAKE CHARLES
State LA
ZIP 70607
Phone 337 477-9820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Home Health Agency
Lab Director APRIL DRAKE

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