49D0661156 CLIA NUMBER - BMA-FMC WEST END DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D0661156
  • Facility Name: BMA-FMC WEST END DIALYSIS
  • Facility Address: 1501 SANTA ROSA ROAD
    RICHMOND, VA
    ZIP 23229
  • Facility Phone: 804 288-5053
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHNSON GOMEZ
  • NPI Number: 1467556233
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D0661156
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BMA-FMC WEST END DIALYSIS
Street 1501 SANTA ROSA ROAD
City RICHMOND
State VA
ZIP 23229
Phone 804 288-5053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHNSON GOMEZ

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