49D2072729 CLIA NUMBER - PRINCESS ANNE DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2072729
  • Facility Name: PRINCESS ANNE DIALYSIS
  • Facility Address: 3973 HOLLAND RD
    VIRGINIA BEACH, VA
    ZIP 23452
  • Facility Phone: 757 340-3526
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MURTHY ANITHA
  • NPI Number: 1780054478
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2072729
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PRINCESS ANNE DIALYSIS
Street 3973 HOLLAND RD
City VIRGINIA BEACH
State VA
ZIP 23452
Phone 757 340-3526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MURTHY ANITHA

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