19D2292959 CLIA NUMBER - TRINITY HEALTH PACE ALEXANDRIA

Laboratory Demographics

CLIA Code: 19D2292959
Facility Name: TRINITY HEALTH PACE ALEXANDRIA
Facility Address: 3403 GOVERNMENT STREET
ALEXANDRIA, LA
ZIP 71302
Facility Phone: 318 206-1000
Facility Type: Other - PACE ADULT DAY CARE
Facility Type: Waiver
Lab Director: WAYNE R. PLAISANCE
NPI Number: 1053002428
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	19D2292959
LAB Type	Other - PACE ADULT DAY CARE
Facility Name	TRINITY HEALTH PACE ALEXANDRIA
Street	3403 GOVERNMENT STREET
City	ALEXANDRIA
State	LA
ZIP	71302
Phone	318 206-1000
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/1/2023
Certificate Expiration Date	10/31/2025
Facility Type	Other - PACE ADULT DAY CARE
Lab Director	WAYNE R. PLAISANCE

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This page was last updated on: 3/20/2025