19D2055857 CLIA NUMBER - AMEDISYS HOSPICE AMEDISYS HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 19D2055857
  • Facility Name: AMEDISYS HOSPICE AMEDISYS HOSPICE, LLC
  • Facility Address: 425 ASHLEY RIDGE BOULEVARD, SUITE 240
    SHREVEPORT, LA
    ZIP 71106
  • Facility Phone: 318 868-8788
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANIELLE CIMBA
  • NPI Number: 1366443830
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2055857
LAB Type Hospice
Facility Name AMEDISYS HOSPICE AMEDISYS HOSPICE, LLC
Street 425 ASHLEY RIDGE BOULEVARD, SUITE 240
City SHREVEPORT
State LA
ZIP 71106
Phone 318 868-8788
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Hospice
Lab Director DANIELLE CIMBA

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