49D2102133 CLIA NUMBER - BULL RUN DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2102133
  • Facility Name: BULL RUN DIALYSIS
  • Facility Address: 9420 FORESWOOD LANE - SUITE 100
    MANASSAS, VA
    ZIP 20110
  • Facility Phone: (703) 257-1749
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: AHMADSHAH MIRKHEL

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CLIA Record

Field Name Field Value
CLIA Number 49D2102133
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BULL RUN DIALYSIS
Street 9420 FORESWOOD LANE - SUITE 100
City MANASSAS
State VA
ZIP 20110
Phone 7032571749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director AHMADSHAH MIRKHEL

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This page was last updated on: 5/18/2026