49D2304794 CLIA NUMBER - DOMINION PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 49D2304794
  • Facility Name: DOMINION PLASTIC SURGERY
  • Facility Address: 2755 HARTLAND ROAD, SUITE 300
    FALLS CHURCH, VA
    ZIP 22043
  • Facility Phone: (703) 544-8971
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VINEET MEHAN
  • NPI Number: 1215465646
  • Taxonomy: 2086S0122X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D2304794
LAB Type Ambulatory Surgery Center
Facility Name DOMINION PLASTIC SURGERY
Street 2755 HARTLAND ROAD, SUITE 300
City FALLS CHURCH
State VA
ZIP 22043
Phone 7035448971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2026
Certificate Expiration Date 5/19/2028
Facility Type Ambulatory Surgery Center
Lab Director VINEET MEHAN

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This page was last updated on: 5/18/2026