49D1087986 CLIA NUMBER - LEESBURG VIRGINIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D1087986
  • Facility Name: LEESBURG VIRGINIA DIALYSIS
  • Facility Address: 224D CORNWALL STREET, NW - SUITE 100
    LEESBURG, VA
    ZIP 20176
  • Facility Phone: 571 258-1362
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ALI R. ASSEFI
  • NPI Number: 1669631297
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1087986
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LEESBURG VIRGINIA DIALYSIS
Street 224D CORNWALL STREET, NW - SUITE 100
City LEESBURG
State VA
ZIP 20176
Phone 571 258-1362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ALI R. ASSEFI

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