49D2132483 CLIA NUMBER - SHENANDOAH DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 49D2132483
  • Facility Name: SHENANDOAH DERMATOLOGY
  • Facility Address: 45 COMMERCE PARK DRIVE
    RAPHINE, VA
    ZIP 24472
  • Facility Phone: 540 885-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANE M. LYNCH
  • NPI Number: 1023484219
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2132483
LAB Type Physician Office
Facility Name SHENANDOAH DERMATOLOGY
Street 45 COMMERCE PARK DRIVE
City RAPHINE
State VA
ZIP 24472
Phone 540 885-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Physician Office
Lab Director JANE M. LYNCH

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