49D1090103 CLIA NUMBER - PREMIER DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 49D1090103
  • Facility Name: PREMIER DERMATOLOGY, PC
  • Facility Address: 44121 LEESBURG PIKE, SUITE 210
    ASHBURN, VA
    ZIP 20147
  • Facility Phone: 703 726-0070
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ADIL USMAN
  • NPI Number: 1275723843
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1090103
LAB Type Physician Office
Facility Name PREMIER DERMATOLOGY, PC
Street 44121 LEESBURG PIKE, SUITE 210
City ASHBURN
State VA
ZIP 20147
Phone 703 726-0070
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 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director ADIL USMAN

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