51D2300214 CLIA NUMBER - CHARTER DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 51D2300214
  • Facility Name: CHARTER DERMATOLOGY PLLC
  • Facility Address: 1008 TAVERN ROAD SUITE 201
    MARTINSBURG, WV
    ZIP 25401
  • Facility Phone: 301 693-3336
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SURESH K. MENON
  • NPI Number: 1043099658
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 51D2300214
LAB Type Physician Office
Facility Name CHARTER DERMATOLOGY PLLC
Street 1008 TAVERN ROAD SUITE 201
City MARTINSBURG
State WV
ZIP 25401
Phone 301 693-3336
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 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director DR. SURESH K. MENON

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