49D2104729 CLIA NUMBER - SHENANDOAH DERMATOLOGY, PC

Laboratory Demographics

  • CLIA Code: 49D2104729
  • Facility Name: SHENANDOAH DERMATOLOGY, PC
  • Facility Address: 427 LEE JACKSON HIGHWAY SUITE 101 ATT STEPHEN VANCE, MD/ANDREW FITZGERALD HISTOTECH
    STAUNTON, VA
    ZIP 24401
  • Facility Phone: 540 886-7989
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHEN VANCE
  • NPI Number: 1619312741
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 49D2104729
LAB Type Physician Office
Facility Name SHENANDOAH DERMATOLOGY, PC
Street 427 LEE JACKSON HIGHWAY SUITE 101 ATT STEPHEN VANCE, MD/ANDREW FITZGERALD HISTOTECH
City STAUNTON
State VA
ZIP 24401
Phone 540 886-7989
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 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director STEPHEN VANCE

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