49D2275702 CLIA NUMBER - THE SKINSTITUTE

Laboratory Demographics

  • CLIA Code: 49D2275702
  • Facility Name: THE SKINSTITUTE
  • Facility Address: 19465 DEERFIELD AVE, SUITE 201
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 571 246-2891
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SMEENA KHAN
  • NPI Number: 1396973053
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2275702
LAB Type Physician Office
Facility Name THE SKINSTITUTE
Street 19465 DEERFIELD AVE, SUITE 201
City LEESBURG
State VA
ZIP 20176
Phone 571 246-2891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director SMEENA KHAN

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