49D2099795 CLIA NUMBER - NANSEMOND DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2099795
  • Facility Name: NANSEMOND DIALYSIS
  • Facility Address: 3009 CORPORATE LANE, SUITE - 130
    SUFFOLK, VA
    ZIP 23434
  • Facility Phone: 757 539-0618
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS V. WHELAN
  • NPI Number: 1336529577
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2099795
LAB Type Physician Office
Facility Name NANSEMOND DIALYSIS
Street 3009 CORPORATE LANE, SUITE - 130
City SUFFOLK
State VA
ZIP 23434
Phone 757 539-0618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director THOMAS V. WHELAN

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