19D1054591 CLIA NUMBER - AUDUBON DERMATOLOGY LLC

Laboratory Demographics

  • CLIA Code: 19D1054591
  • Facility Name: AUDUBON DERMATOLOGY LLC
  • Facility Address: 3525 PRYTANIA STREET SUITE 501
    NEW ORLEANS, LA
    ZIP 70115
  • Facility Phone: 504 895-3376
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SARAH C. JACKSON
  • NPI Number: 1760413868
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D1054591
LAB Type Physician Office
Facility Name AUDUBON DERMATOLOGY LLC
Street 3525 PRYTANIA STREET SUITE 501
City NEW ORLEANS
State LA
ZIP 70115
Phone 504 895-3376
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 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director SARAH C. JACKSON

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