19D1084939 CLIA NUMBER - LACASA HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 19D1084939
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name LACASA HOUSE
Street 11076 GENERAL OTT
City HAMMOND
State LA
ZIP 70403
Phone 225 567-3011
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