19D2014893 CLIA NUMBER - HAYDEL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 19D2014893
  • Facility Name: HAYDEL DERMATOLOGY
  • Facility Address: 578 VALHI BLVD
    HOUMA, LA
    ZIP 70360
  • Facility Phone: 985 223-3871
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SARAH A. HAYDEL
  • NPI Number: 1104994300
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D2014893
LAB Type Physician Office
Facility Name HAYDEL DERMATOLOGY
Street 578 VALHI BLVD
City HOUMA
State LA
ZIP 70360
Phone 985 223-3871
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 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Physician Office
Lab Director SARAH A. HAYDEL

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