21D1005407 CLIA NUMBER - DERMATOLOGIC SURGERY CENTER OF WASHINGTON LLC

Laboratory Demographics

CLIA Number: 21D1005407

Facility Name: DERMATOLOGIC SURGERY CENTER OF WASHINGTON LLC

Facility Address:
5530 WISCONSIN AVE, STE 820
CHEVY CHASE, MD
ZIP 20815
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Facility Phone Number: 301 652-8081

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1326121435

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	21D1005407
LAB Type	Physician Office
Facility Name	DERMATOLOGIC SURGERY CENTER OF WASHINGTON LLC
Street	5530 WISCONSIN AVE, STE 820
City	CHEVY CHASE
State	MD
ZIP	20815
Phone	301 652-8081
CertificateType	2
CertificateEffectiveDate	4/8/2024
CertificateExpirationDate	4/7/2026
FacilityType	Compliance

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This page was last updated on: 4/23/2024