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19D2252025 CLIA NUMBER - ALLEGIANCE HOME HEALTH OF SE LA A-1 BAYOU HEALTH 2000

Laboratory Demographics

CLIA Number: 19D2252025

Facility Name: ALLEGIANCE HOME HEALTH OF SE LA A-1 BAYOU HEALTH 2000

Facility Address:
826 W HWY 30, SUITE D
GONZALES, LA
ZIP 70737
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Facility Phone Number: 985 348-3011

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1083661854

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 19D2252025
LAB Type Home Health Agency
Facility Name ALLEGIANCE HOME HEALTH OF SE LA A-1 BAYOU HEALTH 2000
Street 826 W HWY 30, SUITE D
City GONZALES
State LA
ZIP 70737
Phone 985 348-3011
CertificateType 4
CertificateEffectiveDate 2/8/2024
CertificateExpirationDate 2/7/2026
FacilityType Waiver

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