19D2193577 CLIA NUMBER - EGAN HOSPICE SERVICES OF NORTHSHORE, LLC EGAN HOSPICE

Laboratory Demographics

  • CLIA Code: 19D2193577
  • Facility Name: EGAN HOSPICE SERVICES OF NORTHSHORE, LLC EGAN HOSPICE
  • Facility Address: 121 PARK PLACE, SUITE 2
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 467-5883
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MISTY MCCRORY
  • NPI Number: 1164672051
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D2193577
LAB Type Hospice
Facility Name EGAN HOSPICE SERVICES OF NORTHSHORE, LLC EGAN HOSPICE
Street 121 PARK PLACE, SUITE 2
City COVINGTON
State LA
ZIP 70433
Phone 985 467-5883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Hospice
Lab Director MISTY MCCRORY

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