CLIA lab
CLIA 19D2120643: Integrated Dermatology of Ponchatoula, LLC
Ponchatoula, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 19D2120643 belongs to Integrated Dermatology of Ponchatoula, LLC in Ponchatoula, LA.
Certificate of Compliance, effective April 13, 2025, expires April 12, 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 Compliance
- Certificate effective
- April 13, 2025
- Certificate expiration
- April 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2016
- 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
- 19D2120643
- Lab name
- Integrated Dermatology of Ponchatoula, LLC
- Address
- 180 N 5th Street, Ponchatoula, LA 70454
- Phone
- (985) 370-7546
Annual test volume the lab reported
- Other nonwaived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ponchatoula, LA
- Allen's Family PracticeCertificate of Waiver, Physician office19D0718793
- At Home HealthcareCertificate of Waiver, Home health agency19D2111862
- Benson Dermatology & Skin Cancer, LLCCertificate for Provider-Performed Microscopy Procedures, Physician office19D0972538
- Calcasieu Urgent Care LLCCertificate of Waiver, Physician office19D2193599
- Family Healthcare of Bedico, LLCCertificate of Waiver, Rural health clinic19D2165182
- North Oaks Urgent Care PonchatoulaCertificate of Waiver, Other19D2038350
- Ponchatoula Community Care CenterCertificate of Waiver, Skilled nursing or nursing facility19D2340613
- Strawberry Patch Pediatrics & Family MedicineCertificate of Waiver, Rural health clinic19D2172087
- Walgreens #09690Certificate of Waiver, Pharmacy19D2037515
- Walmart Pharmacy #10-4129Certificate of Waiver, Pharmacy19D2141853
Related
Questions
What is the CLIA number for Integrated Dermatology of Ponchatoula, LLC in Ponchatoula?
19D2120643, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Integrated Dermatology of Ponchatoula, LLC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 19D2120643 expire?
The CMS file lists April 12, 2027 as the certificate expiration date; the certificate took effect April 13, 2025.