Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MCLEAN DERMATOLOGY AND SKINCARE CENTER
NPI 1255645776
Clinic/Center - Medical Specialty in Mc Lean, VA

Active since July 27, 2010CLIA 49D2013735 · Waiver
6849 OLD DOMINION DR STE 450, MC LEAN, VA 22101(703) 356-5111(703) 388-0873 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mclean Dermatology And Skincare Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCLEAN DERMATOLOGY AND SKINCARE CENTER (NPI 1255645776) is a healthcare organization registered as a medical specialty in Mc Lean, Virginia and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Lily Talakoub, Owner, as its authorized official.

NPPES Registry Identity

NPI1255645776
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMCLEAN DERMATOLOGY AND SKINCARE CENTER
Location Address6849 OLD DOMINION DR STE 450Mc Lean, VA 22101-3718
Mailing AddressPo Box 9143Mc Lean, VA 22102-0143 · (703) 356-5111 · Fax (703) 388-0873
Fax(703) 388-0873
Organization SubpartNo
Authorized OfficialLily TalakoubOwner · (703) 356-5111
Enumeration DateJuly 27, 2010
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1255645776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in VA · 01012445533
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6849 OLD DOMINION DR STE 450, Mc Lean, VA 22101

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2013735

Mclean Dermatology And Skin Care Center, PLLC · Mclean, VA
Active · expires Sep 22, 2026
CLIA Number49D2013735
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorLily Talakoub
Laboratory Phone(703) 356-5111
Laboratory LocationMclean Dermatology And Skin Care Center, PLLC6849 Old Dominion Drive - Suite 450, Mclean, VA 22101
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
6849 OLD DOMINION DR STE 450
MC LEAN, VA 22101
Physician Assistant
6849 OLD DOMINION DR STE 450
MC LEAN, VA 22101
Dermatology
6849 OLD DOMINION DR STE 450
MC LEAN, VA 22101
Dermatology
6849 OLD DOMINION DR STE 450
MC LEAN, VA 22101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mclean Dermatology And Skincare Center's NPI number?

The NPI number for Mclean Dermatology And Skincare Center is 1255645776. It was assigned to this organization in the NPPES registry on July 27, 2010.

Where is Mclean Dermatology And Skincare Center located?

Mclean Dermatology And Skincare Center is located at 6849 Old Dominion Dr Ste 450, Mc Lean, VA 22101. The listed phone number is (703) 356-5111.

What is Mclean Dermatology And Skincare Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Mclean Dermatology And Skincare Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2013735) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mclean Dermatology And Skincare Center was last updated on July 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.