49D2071652 CLIA NUMBER - VIRGINIA DERMATOLOGY AND SKIN CANCER CENTER

Laboratory Demographics

  • CLIA Code: 49D2071652
  • Facility Name: VIRGINIA DERMATOLOGY AND SKIN CANCER CENTER
  • Facility Address: 12695 MCMANUS BOULEVARD - SUITE 4A
    NEWPORT NEWS, VA
    ZIP 23602
  • Facility Phone: 757 369-0439
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BRIAN L. JOHNSON
  • NPI Number: 1508299025
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 49D2071652
LAB Type Physician Office
Facility Name VIRGINIA DERMATOLOGY AND SKIN CANCER CENTER
Street 12695 MCMANUS BOULEVARD - SUITE 4A
City NEWPORT NEWS
State VA
ZIP 23602
Phone 757 369-0439
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 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director BRIAN L. JOHNSON

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