19D2166576 CLIA NUMBER - NSR LOUISIANA LLC

Laboratory Demographics

  • CLIA Code: 19D2166576
  • Facility Name: NSR LOUISIANA LLC
  • Facility Address: 64030 HIGHWAY 434
    LACOMBE, LA
    ZIP 70445
  • Facility Phone: 985 218-4660
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: REDDY H. GOLLLAMUDI
  • NPI Number: 1013470038
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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CLIA Record

Field Name Field Value
CLIA Number 19D2166576
LAB Type Hospital
Facility Name NSR LOUISIANA LLC
Street 64030 HIGHWAY 434
City LACOMBE
State LA
ZIP 70445
Phone 985 218-4660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Hospital
Lab Director REDDY H. GOLLLAMUDI

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