19D2185371 CLIA NUMBER - BARDIN DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 19D2185371
  • Facility Name: BARDIN DERMATOLOGY, LLC
  • Facility Address: 111 N ROYAL STREET
    DERIDDER, LA
    ZIP 70634
  • Facility Phone: 504 301-6621
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIN B. BARDIN
  • NPI Number: 1376178137
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D2185371
LAB Type Physician Office
Facility Name BARDIN DERMATOLOGY, LLC
Street 111 N ROYAL STREET
City DERIDDER
State LA
ZIP 70634
Phone 504 301-6621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director ERIN B. BARDIN

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