19D2001638 CLIA NUMBER - VITALCARING GROUP LAKESIDE HOSPICE

Laboratory Demographics

  • CLIA Code: 19D2001638
  • Facility Name: VITALCARING GROUP LAKESIDE HOSPICE
  • Facility Address: 41601 VETERANS AVE STE 200B
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 504 456-6011
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KRYSTLE SAUCIER
  • NPI Number: 1073841417
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2001638
LAB Type Hospice
Facility Name VITALCARING GROUP LAKESIDE HOSPICE
Street 41601 VETERANS AVE STE 200B
City HAMMOND
State LA
ZIP 70403
Phone 504 456-6011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Hospice
Lab Director KRYSTLE SAUCIER

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