19D2173568 CLIA NUMBER - EM DIMITRI DO PMC-DBA DIMITRI DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 19D2173568
  • Facility Name: EM DIMITRI DO PMC-DBA DIMITRI DERMATOLOGY
  • Facility Address: 2104 GAUSE BLVD WEST, SUITE A
    SLIDELL, LA
    ZIP 70460
  • Facility Phone: 504 496-0365
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS ORGERON
  • NPI Number: 1821285974
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D2173568
LAB Type Physician Office
Facility Name EM DIMITRI DO PMC-DBA DIMITRI DERMATOLOGY
Street 2104 GAUSE BLVD WEST, SUITE A
City SLIDELL
State LA
ZIP 70460
Phone 504 496-0365
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 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director THOMAS ORGERON

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