49D2068944 CLIA NUMBER - KAISER PERMANENTE TYSONS MEDICAL CENTER MOHS DEPT

Laboratory Demographics

  • CLIA Code: 49D2068944
  • Facility Name: KAISER PERMANENTE TYSONS MEDICAL CENTER MOHS DEPT
  • Facility Address: 8008 WESTPARK DR
    MCLEAN, VA
    ZIP 22102
  • Facility Phone: 703 287-6499
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANNALISE O. ABIODUN
  • NPI Number: 1538667878
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 49D2068944
LAB Type Physician Office
Facility Name KAISER PERMANENTE TYSONS MEDICAL CENTER MOHS DEPT
Street 8008 WESTPARK DR
City MCLEAN
State VA
ZIP 22102
Phone 703 287-6499
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 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director ANNALISE O. ABIODUN

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