19D1084924 CLIA NUMBER - OUR HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 19D1084924
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name OUR HOUSE
Street 20368 GREEN ACRES DRIVE
City HAMMOND
State LA
ZIP 70401
Phone 985 542-0254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director BHAVANA PATEL MD

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