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19D2157080 CLIA NUMBER - LOUISIANA HEALTH AND WELNESS CENTER

Laboratory Demographics

CLIA Number: 19D2157080

Facility Name: LOUISIANA HEALTH AND WELNESS CENTER

Facility Address:
233 PECAN PARK AVENUE, SUITE D
ALEXANDRIA, LA
ZIP 71303
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Facility Phone Number: 318 757-9038

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1831137132

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 19D2157080
LAB Type Physician Office
Facility Name LOUISIANA HEALTH AND WELNESS CENTER
Street 233 PECAN PARK AVENUE, SUITE D
City ALEXANDRIA
State LA
ZIP 71303
Phone 318 757-9038
CertificateType 4
CertificateEffectiveDate 10/30/2022
CertificateExpirationDate 10/29/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024