49D0972288 CLIA NUMBER - MECHANICSVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D0972288
  • Facility Name: MECHANICSVILLE DIALYSIS
  • Facility Address: 8191 ATLEE ROAD
    MECHANICSVILLE, VA
    ZIP 23116
  • Facility Phone: 804 764-6933
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. STILL
  • NPI Number: 1659823466
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D0972288
LAB Type Home Health Agency
Facility Name MECHANICSVILLE DIALYSIS
Street 8191 ATLEE ROAD
City MECHANICSVILLE
State VA
ZIP 23116
Phone 804 764-6933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Home Health Agency
Lab Director WILLIAM J. STILL

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