19D2038347 CLIA NUMBER - INTERIM HEALTHCARE HOSPICE OF EAST LOUISIANA

Laboratory Demographics

  • CLIA Code: 19D2038347
  • Facility Name: INTERIM HEALTHCARE HOSPICE OF EAST LOUISIANA
  • Facility Address: 2637 NORTH CAUSEWAY BLVD
    MANDEVILLE, LA
    ZIP 70471
  • Facility Phone: 985 234-0400
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STEPHANIE AUCOIN
  • NPI Number: 1851689707
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2038347
LAB Type Hospice
Facility Name INTERIM HEALTHCARE HOSPICE OF EAST LOUISIANA
Street 2637 NORTH CAUSEWAY BLVD
City MANDEVILLE
State LA
ZIP 70471
Phone 985 234-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Hospice
Lab Director STEPHANIE AUCOIN

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