19D2190442 CLIA NUMBER - CENLA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 19D2190442
  • Facility Name: CENLA DERMATOLOGY
  • Facility Address: 1587 N BOLTON AVE,#1300
    ALEXANDRIA, LA
    ZIP 71303
  • Facility Phone: 318 933-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DOUGLAS M. LEONE
  • NPI Number: 1851919005
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D2190442
LAB Type Physician Office
Facility Name CENLA DERMATOLOGY
Street 1587 N BOLTON AVE,#1300
City ALEXANDRIA
State LA
ZIP 71303
Phone 318 933-3376
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 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director DOUGLAS M. LEONE

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