49D0967341 CLIA NUMBER - GREAT BRIDGE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 49D0967341
  • Facility Name: GREAT BRIDGE DIALYSIS CENTER
  • Facility Address: 745 N BATTLEFIELD BOULEVARD - SUITE 100
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 436-2156
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL RAKOWSKI
  • NPI Number: 1134153448
  • Taxonomy: 111N00000X - Chiropractor

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0967341
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GREAT BRIDGE DIALYSIS CENTER
Street 745 N BATTLEFIELD BOULEVARD - SUITE 100
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 436-2156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DANIEL RAKOWSKI

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