21D0870618 CLIA NUMBER - SKIN CANCER SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 21D0870618
  • Facility Name: SKIN CANCER SURGERY CENTER LLC
  • Facility Address: 6410 ROCKLEDGE DRIVE , #300
    BETHESDA, MD
    ZIP 20817
  • Facility Phone: 301 564-3131
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDREW D. MONTEMARANO
  • NPI Number: 1942276852
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 21D0870618
LAB Type Physician Office
Facility Name SKIN CANCER SURGERY CENTER LLC
Street 6410 ROCKLEDGE DRIVE , #300
City BETHESDA
State MD
ZIP 20817
Phone 301 564-3131
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director ANDREW D. MONTEMARANO

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This page was last updated on: 3/20/2025