49D1101809 CLIA NUMBER - HARBOUR VIEW DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D1101809
  • Facility Name: HARBOUR VIEW DIALYSIS
  • Facility Address: 1039 CHAMPIONS WAY BUILDING 4, SUITE 500
    SUFFOLK, VA
    ZIP 23435
  • Facility Phone: 757 484-2814
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOSTA G. HAQUE
  • NPI Number: 1316186299
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D1101809
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HARBOUR VIEW DIALYSIS
Street 1039 CHAMPIONS WAY BUILDING 4, SUITE 500
City SUFFOLK
State VA
ZIP 23435
Phone 757 484-2814
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MOSTA G. HAQUE

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