19D2096771 CLIA NUMBER - ST MICHAEL'S HOME HEALTH JS MANAGEMENT, LLC

Laboratory Demographics

  • CLIA Code: 19D2096771
  • Facility Name: ST MICHAEL'S HOME HEALTH JS MANAGEMENT, LLC
  • Facility Address: 332 AMELIA ST
    GRETNA, LA
    ZIP 70053
  • Facility Phone: 504 322-4525
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DOLORES M. JAMBON
  • NPI Number: 1538548508
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 19D2096771
LAB Type Home Health Agency
Facility Name ST MICHAEL'S HOME HEALTH JS MANAGEMENT, LLC
Street 332 AMELIA ST
City GRETNA
State LA
ZIP 70053
Phone 504 322-4525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Home Health Agency
Lab Director DOLORES M. JAMBON

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