49D0937601 CLIA NUMBER - ALEXANDRIA DIALYSIS

Laboratory Demographics

CLIA Number: 49D0937601

Facility Name: ALEXANDRIA DIALYSIS

Facility Address:
5150 DUKE STREET
ALEXANDRIA, VA
ZIP 22304
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Facility Phone Number: 703 823-7940

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1083678320

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D0937601
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	ALEXANDRIA DIALYSIS
Street	5150 DUKE STREET
City	ALEXANDRIA
State	VA
ZIP	22304
Phone	703 823-7940
CertificateType	4
CertificateEffectiveDate	12/19/2023
CertificateExpirationDate	12/18/2025
FacilityType	Waiver

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