19D1066543 CLIA NUMBER - DOCTORS HOSPICE NORTHSHORE, LLC ACG HOSPICE

Laboratory Demographics

  • CLIA Code: 19D1066543
  • Facility Name: DOCTORS HOSPICE NORTHSHORE, LLC ACG HOSPICE
  • Facility Address: 1109 FAGAN DR, SUITE N
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 985 773-1995
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SUMMER WOODS
  • NPI Number: 1184893653
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D1066543
LAB Type Hospice
Facility Name DOCTORS HOSPICE NORTHSHORE, LLC ACG HOSPICE
Street 1109 FAGAN DR, SUITE N
City HAMMOND
State LA
ZIP 70403
Phone 985 773-1995
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Hospice
Lab Director SUMMER WOODS

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