19D1070271 CLIA NUMBER - TRADITIONS HOSPICE OF LAFAYETTE, LLC

Laboratory Demographics

CLIA Number: 19D1070271

Facility Name: TRADITIONS HOSPICE OF LAFAYETTE, LLC

Facility Address:
217 RUE LOUIS XIV, SUITE 100
LAFAYETTE, LA
ZIP 70508
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Facility Phone Number: 337 948-9004

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1578169819

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	19D1070271
LAB Type	Hospice
Facility Name	TRADITIONS HOSPICE OF LAFAYETTE, LLC
Street	217 RUE LOUIS XIV, SUITE 100
City	LAFAYETTE
State	LA
ZIP	70508
Phone	337 948-9004
CertificateType	4
CertificateEffectiveDate	6/25/2023
CertificateExpirationDate	6/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024