48D2313852 CLIA NUMBER - VIRGIN ISLANDS HEALTHCARE FOUNDATION

Laboratory Demographics

  • CLIA Code: 48D2313852
  • Facility Name: VIRGIN ISLANDS HEALTHCARE FOUNDATION
  • Facility Address: 4094 DIAMOND RUBY (SUNNY ISLE ANNEX), STE. 4AX
    CHRISTIANSTED, VI
    ZIP 00820
  • Facility Phone: 218 349-8559
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAN B. TAWAKOL
  • NPI Number: 1457652042
  • Taxonomy: 3336H0001X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 48D2313852
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VIRGIN ISLANDS HEALTHCARE FOUNDATION
Street 4094 DIAMOND RUBY (SUNNY ISLE ANNEX), STE. 4AX
City CHRISTIANSTED
State VI
ZIP 00820
Phone 218 349-8559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAN B. TAWAKOL

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