19D1089854 CLIA NUMBER - DERMA, LLC

Laboratory Demographics

  • CLIA Code: 19D1089854
  • Facility Name: DERMA, LLC
  • Facility Address: 6411 PERKINS RD, STE 100
    BATON ROUGE, LA
    ZIP 70808
  • Facility Phone: (225) 303-9500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHAD PRATHER
  • NPI Number: 1053579862
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D1089854
LAB Type Physician Office
Facility Name DERMA, LLC
Street 6411 PERKINS RD, STE 100
City BATON ROUGE
State LA
ZIP 70808
Phone 2253039500
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 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director CHAD PRATHER

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This page was last updated on: 5/18/2026