19D0683673 CLIA NUMBER - CALAIS DERMATOLOGY ASSOC

Laboratory Demographics

  • CLIA Code: 19D0683673
  • Facility Name: CALAIS DERMATOLOGY ASSOC
  • Facility Address: 5220 FLANDERS DR
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: (225) 766-5151
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN B. BRANTLEY
  • NPI Number: 1093742769
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D0683673
LAB Type Physician Office
Facility Name CALAIS DERMATOLOGY ASSOC
Street 5220 FLANDERS DR
City BATON ROUGE
State LA
ZIP 70808
Phone 2257665151
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/21/2026
Certificate Expiration Date 2/20/2028
Facility Type Physician Office
Lab Director JOHN B. BRANTLEY

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This page was last updated on: 5/18/2026