49D0661237 CLIA NUMBER - WARRENTON DIALYSIS FACILITY INC

Laboratory Demographics

  • CLIA Code: 49D0661237
  • Facility Name: WARRENTON DIALYSIS FACILITY INC
  • Facility Address: 170 WEST SHIRLEY AVENUE - SUITE 100
    WARRENTON, VA
    ZIP 20186
  • Facility Phone: 540 341-7547
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KENNETH M. KORNETSKY
  • NPI Number: 1376647149
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0661237
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WARRENTON DIALYSIS FACILITY INC
Street 170 WEST SHIRLEY AVENUE - SUITE 100
City WARRENTON
State VA
ZIP 20186
Phone 540 341-7547
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 KENNETH M. KORNETSKY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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