49D0959143 CLIA NUMBER - PENINSULA DERMATOLOGY SKIN CANCER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 49D0959143
  • Facility Name: PENINSULA DERMATOLOGY SKIN CANCER SURGERY CENTER
  • Facility Address: 1601 COMMONWEALTH AVE
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 259-9466
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ZANTHA CHRISTINE MARCUSON
  • NPI Number: 1689731986
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 49D0959143
LAB Type Physician Office
Facility Name PENINSULA DERMATOLOGY SKIN CANCER SURGERY CENTER
Street 1601 COMMONWEALTH AVE
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 259-9466
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 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director ZANTHA CHRISTINE MARCUSON

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