19D1019105 CLIA NUMBER - KEVIN M PLAISANCE, MD, LLC

Laboratory Demographics

  • CLIA Code: 19D1019105
  • Facility Name: KEVIN M PLAISANCE, MD, LLC
  • Facility Address: 200 GREENBRIER BOULEVARD
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 893-3777
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KEVIN M. PLAISANCE, MD
  • NPI Number: 1528103280
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 19D1019105
LAB Type Physician Office
Facility Name KEVIN M PLAISANCE, MD, LLC
Street 200 GREENBRIER BOULEVARD
City COVINGTON
State LA
ZIP 70433
Phone 985 893-3777
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 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director KEVIN M. PLAISANCE, MD

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