CLIA lab
CLIA 19D1065088: Dermatology & Advanced Aesthetics
Lake Charles, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D1065088 belongs to Dermatology & Advanced Aesthetics in Lake Charles, LA.
Certificate of Waiver, effective February 21, 2025, expires February 20, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 21, 2025
- Certificate expiration
- February 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2007
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 19D1065088
- Lab name
- Dermatology & Advanced Aesthetics
- Additional name
- Shondra L Smith MD
- Address
- 3635 Nelson Road, Lake Charles, LA 70605
- Phone
- (337) 477-0011
- Fax
- (337) 477-0010
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Dermatology & Advanced Aesthetics in Lake Charles?
19D1065088, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dermatology & Advanced Aesthetics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 19D1065088 expire?
The CMS file lists February 20, 2027 as the certificate expiration date; the certificate took effect February 21, 2025.