49D0893791 CLIA NUMBER - NEWPORT NEWS DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 49D0893791

Facility Name: NEWPORT NEWS DIALYSIS CENTER

Facility Address:
711 79TH STREET
NEWPORT NEWS, VA
ZIP 23605
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Facility Phone Number: 757 245-8090

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1376675009

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D0893791
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	NEWPORT NEWS DIALYSIS CENTER
Street	711 79TH STREET
City	NEWPORT NEWS
State	VA
ZIP	23605
Phone	757 245-8090
CertificateType	4
CertificateEffectiveDate	10/29/2022
CertificateExpirationDate	10/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024