19D2123488 CLIA NUMBER - NSI HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 19D2123488
  • Facility Name: NSI HOSPICE, LLC
  • Facility Address: 10009 CAMELLIA BLVD
    LAFAYETTE, LA
    ZIP 70508
  • Facility Phone: 337 347-8826
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STACEY P. FREDERICK
  • NPI Number: 1831593839
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2123488
LAB Type Hospice
Facility Name NSI HOSPICE, LLC
Street 10009 CAMELLIA BLVD
City LAFAYETTE
State LA
ZIP 70508
Phone 337 347-8826
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Hospice
Lab Director STACEY P. FREDERICK

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