19D2027835 CLIA NUMBER - BEACON BEHAVIORAL HOSPITAL, INC

Laboratory Demographics

  • CLIA Code: 19D2027835
  • Facility Name: BEACON BEHAVIORAL HOSPITAL, INC
  • Facility Address: 2471 LOUISIANA AVE
    LUTCHER, LA
    ZIP 70071
  • Facility Phone: 225 810-4040
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DENISE WHITE
  • NPI Number: 1194964049
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2027835
LAB Type Hospital
Facility Name BEACON BEHAVIORAL HOSPITAL, INC
Street 2471 LOUISIANA AVE
City LUTCHER
State LA
ZIP 70071
Phone 225 810-4040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Hospital
Lab Director DENISE WHITE

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