19D2125800 CLIA NUMBER - PURE DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 19D2125800
  • Facility Name: PURE DERMATOLOGY, LLC
  • Facility Address: 3100 GALLERIA DRIVE, SUITE 203
    METAIRIE, LA
    ZIP 70001
  • Facility Phone: 504 534-5283
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATHERINE Z. HOLCOMB
  • NPI Number: 1750844361
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D2125800
LAB Type Physician Office
Facility Name PURE DERMATOLOGY, LLC
Street 3100 GALLERIA DRIVE, SUITE 203
City METAIRIE
State LA
ZIP 70001
Phone 504 534-5283
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 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director KATHERINE Z. HOLCOMB

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