49D2170917 CLIA NUMBER - MARTINSVILLE DERMATOLOGY AND SKIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 49D2170917
  • Facility Name: MARTINSVILLE DERMATOLOGY AND SKIN SURGERY CENTER
  • Facility Address: 312 FAIRY ST EXTENSION, SUITE 201
    MARTINSVILLE, VA
    ZIP 24112
  • Facility Phone: 276 632-6496
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: STEPHANIE HOWERTER
  • NPI Number: 1275729006
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D2170917
LAB Type Physician Office
Facility Name MARTINSVILLE DERMATOLOGY AND SKIN SURGERY CENTER
Street 312 FAIRY ST EXTENSION, SUITE 201
City MARTINSVILLE
State VA
ZIP 24112
Phone 276 632-6496
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 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director STEPHANIE HOWERTER

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