19D2130600 CLIA NUMBER - HEART OF HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 19D2130600
  • Facility Name: HEART OF HOSPICE, LLC
  • Facility Address: 5656 NELSON RD, SUITE B1
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 855-5154
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANNIEL WASHINGTON
  • NPI Number: 1457566200
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2130600
LAB Type Hospice
Facility Name HEART OF HOSPICE, LLC
Street 5656 NELSON RD, SUITE B1
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 855-5154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Hospice
Lab Director DANNIEL WASHINGTON

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