49D2170701 CLIA NUMBER - METRO MOHS SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 49D2170701
  • Facility Name: METRO MOHS SURGERY CENTER, LLC
  • Facility Address: 5501 BACKLICK ROAD, SUITES 110 & 120
    SPRINGFIELD, VA
    ZIP 22151
  • Facility Phone: 703 705-7505
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHARLES B. TONER
  • NPI Number: 1578129599
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2170701
LAB Type Physician Office
Facility Name METRO MOHS SURGERY CENTER, LLC
Street 5501 BACKLICK ROAD, SUITES 110 & 120
City SPRINGFIELD
State VA
ZIP 22151
Phone 703 705-7505
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 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director CHARLES B. TONER

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