19D1018671 CLIA NUMBER - RENE' KOPPEL, MD, A PROFESSIONAL MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 19D1018671
  • Facility Name: RENE' KOPPEL, MD, A PROFESSIONAL MEDICAL CORP
  • Facility Address: 3640 HOUMA BOULEVARD
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 454-1885
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT A. KOPPEL
  • NPI Number: 1861459547
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D1018671
LAB Type Physician Office
Facility Name RENE' KOPPEL, MD, A PROFESSIONAL MEDICAL CORP
Street 3640 HOUMA BOULEVARD
City METAIRIE
State LA
ZIP 70006
Phone 504 454-1885
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director ROBERT A. KOPPEL

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