49D1031013 CLIA NUMBER - SKIN CANCER CENTER OF NORTHERN VIRGINIA

Laboratory Demographics

  • CLIA Code: 49D1031013
  • Facility Name: SKIN CANCER CENTER OF NORTHERN VIRGINIA
  • Facility Address: 19465 DEERFIELD AVE, STE 401
    LANSDOWNE, VA
    ZIP 20176
  • Facility Phone: 703 723-5700
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: COREY M. DEWITT
  • NPI Number: 1356465769
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D1031013
LAB Type Physician Office
Facility Name SKIN CANCER CENTER OF NORTHERN VIRGINIA
Street 19465 DEERFIELD AVE, STE 401
City LANSDOWNE
State VA
ZIP 20176
Phone 703 723-5700
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 7/28/2023
Certificate Expiration Date 7/27/2025
Facility Type Physician Office
Lab Director COREY M. DEWITT

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