09D2320917 CLIA NUMBER - COSMEDICA DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 09D2320917
  • Facility Name: COSMEDICA DERMATOLOGY
  • Facility Address: 1250 23RD ST NW SUITE 410
    WASHINGTON, DC
    ZIP 20037
  • Facility Phone: 202 796-8886
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA R. HOGAN
  • NPI Number: 1225865264
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 09D2320917
LAB Type Physician Office
Facility Name COSMEDICA DERMATOLOGY
Street 1250 23RD ST NW SUITE 410
City WASHINGTON
State DC
ZIP 20037
Phone 202 796-8886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director SARA R. HOGAN

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