19D2259783 CLIA NUMBER - REGIONAL HOSPICE CARE GROUP OF NW LOUISIANA, LLC

Laboratory Demographics

  • CLIA Code: 19D2259783
  • Facility Name: REGIONAL HOSPICE CARE GROUP OF NW LOUISIANA, LLC
  • Facility Address: 9301 WALLACE LAKE RD
    SHREVEPORT, LA
    ZIP 71106
  • Facility Phone: 318 524-1046
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SAMUEL K. ABSHIRE
  • NPI Number: 1265437743
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2259783
LAB Type Hospice
Facility Name REGIONAL HOSPICE CARE GROUP OF NW LOUISIANA, LLC
Street 9301 WALLACE LAKE RD
City SHREVEPORT
State LA
ZIP 71106
Phone 318 524-1046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2024
Certificate Expiration Date 5/10/2026
Facility Type Hospice
Lab Director SAMUEL K. ABSHIRE

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