19D0460667 CLIA NUMBER - HOSPICE OF ACADIANA

Laboratory Demographics

  • CLIA Code: 19D0460667
  • Facility Name: HOSPICE OF ACADIANA
  • Facility Address: 2600 JOHNSTON STREET SUITE 200
    LAFAYETTE, LA
    ZIP 70503
  • Facility Phone: 337 232-1234
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STACY MISTRIC
  • NPI Number: 1346247400
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 19D0460667
LAB Type Hospice
Facility Name HOSPICE OF ACADIANA
Street 2600 JOHNSTON STREET SUITE 200
City LAFAYETTE
State LA
ZIP 70503
Phone 337 232-1234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Hospice
Lab Director STACY MISTRIC

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