49D0943892 CLIA NUMBER - LOUDOUN DERMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D0943892
  • Facility Name: LOUDOUN DERMATOLOGY ASSOCIATES
  • Facility Address: 19415 DEERFIELD AVENUE - SUITE 314
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 703 723-7171
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VAN T. HA
  • NPI Number: 1740766914
  • Taxonomy: 1223G0001X - Dentist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0943892
LAB Type Physician Office
Facility Name LOUDOUN DERMATOLOGY ASSOCIATES
Street 19415 DEERFIELD AVENUE - SUITE 314
City LEESBURG
State VA
ZIP 20176
Phone 703 723-7171
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 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director VAN T. HA

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