19D2138004 CLIA NUMBER - WILLIAMSON COSMETIC CENTER

Laboratory Demographics

  • CLIA Code: 19D2138004
  • Facility Name: WILLIAMSON COSMETIC CENTER
  • Facility Address: 8150 JEFFERSON HIGHWAY
    BATON ROUGE, LA
    ZIP 70809
  • Facility Phone: 225 927-7546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON D. PERENACK
  • NPI Number: 1134687403
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 19D2138004
LAB Type Physician Office
Facility Name WILLIAMSON COSMETIC CENTER
Street 8150 JEFFERSON HIGHWAY
City BATON ROUGE
State LA
ZIP 70809
Phone 225 927-7546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2025
Certificate Expiration Date 10/8/2027
Facility Type Physician Office
Lab Director JON D. PERENACK

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