19D2056975 CLIA NUMBER - AMEDISYS HOSPICE

Laboratory Demographics

  • CLIA Code: 19D2056975
  • Facility Name: AMEDISYS HOSPICE
  • Facility Address: 4017 COMMON STREET
    LAKE CHARLES, LA
    ZIP 70607
  • Facility Phone: 337 562-3200
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JANET SQUIRES
  • NPI Number: 1649271016
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2056975
LAB Type Hospice
Facility Name AMEDISYS HOSPICE
Street 4017 COMMON STREET
City LAKE CHARLES
State LA
ZIP 70607
Phone 337 562-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Hospice
Lab Director JANET SQUIRES

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This page was last updated on: 6/4/2025