19D2141633 CLIA NUMBER - GENESIS HOSPICE

Laboratory Demographics

  • CLIA Code: 19D2141633
  • Facility Name: GENESIS HOSPICE
  • Facility Address: 800 CM FAGAN DR, STE C
    HAMMOND, LA
    ZIP 70403
  • Facility Phone: 395 429-0210
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARCELLA CRIER
  • NPI Number: 1558330191
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2141633
LAB Type Hospice
Facility Name GENESIS HOSPICE
Street 800 CM FAGAN DR, STE C
City HAMMOND
State LA
ZIP 70403
Phone 395 429-0210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Hospice
Lab Director MARCELLA CRIER

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