49D1068320 CLIA NUMBER - WILLIAMSBURG DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D1068320
  • Facility Name: WILLIAMSBURG DIALYSIS
  • Facility Address: 500 SENTARA CIRCLE - SUITE 103
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 229-8151
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SHUPING WANG, MD
  • NPI Number: 1093020489
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D1068320
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WILLIAMSBURG DIALYSIS
Street 500 SENTARA CIRCLE - SUITE 103
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 229-8151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SHUPING WANG, MD

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