49D0943829 CLIA NUMBER - DERMATOLOGY CENTER, THE

Laboratory Demographics

  • CLIA Code: 49D0943829
  • Facility Name: DERMATOLOGY CENTER, THE
  • Facility Address: 3501 LAFAYETTE BOULEVARD
    FREDERICKSBURG, VA
    ZIP 22408
  • Facility Phone: 540 371-7118
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TASSIA KOSTOPOULOS
  • NPI Number: 1073688768
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0943829
LAB Type Physician Office
Facility Name DERMATOLOGY CENTER, THE
Street 3501 LAFAYETTE BOULEVARD
City FREDERICKSBURG
State VA
ZIP 22408
Phone 540 371-7118
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 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director TASSIA KOSTOPOULOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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