CLIA Code Details

Clinical Laboratory Code : 19D0920538

EVERGREEN LIFE SERVICES (NCLA DIVISION) (INTERMEDIATE CARE FACILITY/INDIVIDUALS WITH INTELLECTUAL DISABILITIES)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 19D0920538
Clinical laboratory number
Lab Name EVERGREEN LIFE SERVICES (NCLA DIVISION)
Laboratory Name
Lab Type Intermediate Care Facility/Individuals with Intellectual Disabilities
Laboratory Type
Certificate Type N/S (NOT SPECIFIED)
Clinical laboratory certificate type

Contacts

Phone 318-577-3028
Laboratory telephone number
Fax N/S (NOT SPECIFIED)
Fax number of the provider.

Facility Location

Street Address 1412 SIBLEY ROAD
Primary location adress line
City MINDEN
Primary location city name
State LA
Primary location state name
Zip 71055
Primary location postal code

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