49D2308316 CLIA NUMBER - FOREFRONT DERMATOLOGY, SC

Laboratory Demographics

  • CLIA Code: 49D2308316
  • Facility Name: FOREFRONT DERMATOLOGY, SC
  • Facility Address: 3025 HAMAKER CT, SUITE 340
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 849-8036
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHELE Z. MAGNINO
  • NPI Number: 1609604610
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2308316
LAB Type Physician Office
Facility Name FOREFRONT DERMATOLOGY, SC
Street 3025 HAMAKER CT, SUITE 340
City FAIRFAX
State VA
ZIP 22031
Phone 703 849-8036
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director MICHELE Z. MAGNINO

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