CLIA lab
CLIA 19D0675254: Prairie Manor Nursing Home
Pine Prairie, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D0675254 belongs to Prairie Manor Nursing Home in Pine Prairie, LA.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 27, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D0675254
- Lab name
- Prairie Manor Nursing Home
- Address
- 1050 Edwin Elliott Drive, Pine Prairie, LA 70576
- Phone
- (337) 599-2031
- Fax
- (337) 599-3277
Annual test volume the lab reported
- Waived tests
- 425
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Prairie Manor Nursing HomeCMS Care Compare ratings for the facility at the same street address
Other labs in Pine Prairie, LA
Related
Questions
What is the CLIA number for Prairie Manor Nursing Home in Pine Prairie?
19D0675254, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Manor Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D0675254 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.