09D1095879 CLIA NUMBER - GEORGETOWN DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 09D1095879
  • Facility Name: GEORGETOWN DERMATOLOGY
  • Facility Address: 3301 NEW MEXICO AVENUE NW SUITE 210
    WASHINGTON, DC
    ZIP 20016
  • Facility Phone: 202 270-3620
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CATHARINE LISA KAUFFMAN
  • NPI Number: 1508006081
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 09D1095879
LAB Type Physician Office
Facility Name GEORGETOWN DERMATOLOGY
Street 3301 NEW MEXICO AVENUE NW SUITE 210
City WASHINGTON
State DC
ZIP 20016
Phone 202 270-3620
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director CATHARINE LISA KAUFFMAN

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