49D0930693 CLIA NUMBER - KIDNEY AND HYPERTENSION SPECIALISTS

Laboratory Demographics

CLIA Number: 49D0930693

Facility Name: KIDNEY AND HYPERTENSION SPECIALISTS

Facility Address:
9378 FORESTWOOD LANE - #E
MANASSAS, VA
ZIP 20110
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Facility Phone Number: 703 791-6184

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558395863

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	49D0930693
LAB Type	Physician Office
Facility Name	KIDNEY AND HYPERTENSION SPECIALISTS
Street	9378 FORESTWOOD LANE - #E
City	MANASSAS
State	VA
ZIP	20110
Phone	703 791-6184
CertificateType	4
CertificateEffectiveDate	7/17/2023
CertificateExpirationDate	7/16/2025
FacilityType	Waiver

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