19D1065088 CLIA NUMBER - DERMATOLOGY & ADVANCED AESTHETICS SHONDRA L SMITH MD

Laboratory Demographics

  • CLIA Code: 19D1065088
  • Facility Name: DERMATOLOGY & ADVANCED AESTHETICS SHONDRA L SMITH MD
  • Facility Address: 3635 NELSON ROAD
    LAKE CHARLES, LA
    ZIP 70605
  • Facility Phone: 337 477-0011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHONDRA L. SMITH, MD
  • NPI Number: 1447248166
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D1065088
LAB Type Physician Office
Facility Name DERMATOLOGY & ADVANCED AESTHETICS SHONDRA L SMITH MD
Street 3635 NELSON ROAD
City LAKE CHARLES
State LA
ZIP 70605
Phone 337 477-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director SHONDRA L. SMITH, MD

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