19D2324036 CLIA NUMBER - MYERS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 19D2324036
  • Facility Name: MYERS DERMATOLOGY
  • Facility Address: 5701 AMBASSADOR CAFFERY PKWY
    YOUNGSVILLE, LA
    ZIP 70592
  • Facility Phone: 337 456-3323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA M. GRAVOUIA
  • NPI Number: 1114255965
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 19D2324036
LAB Type Physician Office
Facility Name MYERS DERMATOLOGY
Street 5701 AMBASSADOR CAFFERY PKWY
City YOUNGSVILLE
State LA
ZIP 70592
Phone 337 456-3323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director SARA M. GRAVOUIA

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