49D2103971 CLIA NUMBER - PARK HILL DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2103971
  • Facility Name: PARK HILL DIALYSIS
  • Facility Address: 1151 HOSPITAL DRIVE
    FREDERICKSBURG, VA
    ZIP 22401
  • Facility Phone: 540 373-2470
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: USMAN RAJMAT
  • NPI Number: 1619360674
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2103971
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PARK HILL DIALYSIS
Street 1151 HOSPITAL DRIVE
City FREDERICKSBURG
State VA
ZIP 22401
Phone 540 373-2470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director USMAN RAJMAT

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