49D1073441 CLIA NUMBER - BUTLER FARM DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D1073441
  • Facility Name: BUTLER FARM DIALYSIS
  • Facility Address: 501 BUTLER FARM ROAD
    HAMPTON, VA
    ZIP 23666
  • Facility Phone: 757 766-1921
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KHALIL B. DAHDAH, MD
  • NPI Number: 1831382845
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1073441
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BUTLER FARM DIALYSIS
Street 501 BUTLER FARM ROAD
City HAMPTON
State VA
ZIP 23666
Phone 757 766-1921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2023
Certificate Expiration Date 9/9/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KHALIL B. DAHDAH, MD

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This page was last updated on: 3/20/2025