49D0889861 CLIA NUMBER - FRONT ROYAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D0889861
  • Facility Name: FRONT ROYAL DIALYSIS
  • Facility Address: 1360 N SHENANDOAH AVENUE
    FRONT ROYAL, VA
    ZIP 22630
  • Facility Phone: 540 622-2269
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ARCHANA SHYAMSUNDER
  • NPI Number: 1780178632
  • Taxonomy: 344600000X - Taxi

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CLIA Record

Field Name Field Value
CLIA Number 49D0889861
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRONT ROYAL DIALYSIS
Street 1360 N SHENANDOAH AVENUE
City FRONT ROYAL
State VA
ZIP 22630
Phone 540 622-2269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ARCHANA SHYAMSUNDER

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