19D0913458 CLIA NUMBER - WILLIAM NICHOLAS LANDRY III MD

Laboratory Demographics

  • CLIA Code: 19D0913458
  • Facility Name: WILLIAM NICHOLAS LANDRY III MD
  • Facility Address: 121 LAKEVIEW CIRCLE, SUITE C
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 898-1940
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM N. LANDRY III MD
  • NPI Number: 1609013515
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 19D0913458
LAB Type Physician Office
Facility Name WILLIAM NICHOLAS LANDRY III MD
Street 121 LAKEVIEW CIRCLE, SUITE C
City COVINGTON
State LA
ZIP 70433
Phone 985 898-1940
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 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Physician Office
Lab Director WILLIAM N. LANDRY III MD

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This page was last updated on: 9/29/2025