49D2081617 CLIA NUMBER - DANVILLE HOME DIAYSIS

Laboratory Demographics

  • CLIA Code: 49D2081617
  • Facility Name: DANVILLE HOME DIAYSIS
  • Facility Address: 1040 MAIN STREET - SUITE B
    DANVILLE, VA
    ZIP 24541
  • Facility Phone: 434 797-6673
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARY D. BLICK
  • NPI Number: 1578544680
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 49D2081617
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DANVILLE HOME DIAYSIS
Street 1040 MAIN STREET - SUITE B
City DANVILLE
State VA
ZIP 24541
Phone 434 797-6673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARY D. BLICK

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