19D1089859 CLIA NUMBER - HOLLY HILL HOUSE

Laboratory Demographics

  • CLIA Code: 19D1089859
  • Facility Name: HOLLY HILL HOUSE
  • Facility Address: 100 KINGSTON ROAD
    SULPHUR, LA
    ZIP 70663
  • Facility Phone: 337 625-5843
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES A. EAVES
  • NPI Number: 1699775189
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D1089859
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLLY HILL HOUSE
Street 100 KINGSTON ROAD
City SULPHUR
State LA
ZIP 70663
Phone 337 625-5843
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAMES A. EAVES

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