19D2036085 CLIA NUMBER - CRESCENT DERM SURGERY

Laboratory Demographics

  • CLIA Code: 19D2036085
  • Facility Name: CRESCENT DERM SURGERY
  • Facility Address: 4421 CHASTANT ST
    METAIRIE, LA
    ZIP 70006
  • Facility Phone: 504 570-6370
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ALAN T. LEWIS
  • NPI Number: 1437486552
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2036085
LAB Type Physician Office
Facility Name CRESCENT DERM SURGERY
Street 4421 CHASTANT ST
City METAIRIE
State LA
ZIP 70006
Phone 504 570-6370
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 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director ALAN T. LEWIS

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