49D2109698 CLIA NUMBER - UVA STAUNTON DIALYSIS

Laboratory Demographics

CLIA Number: 49D2109698

Facility Name: UVA STAUNTON DIALYSIS

Facility Address:
81 ORCHARD HILL CIRCLE, SUITE 103
STAUNTON, VA
ZIP 24401
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Facility Phone Number: 434 924-8507

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1407212954

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D2109698
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	UVA STAUNTON DIALYSIS
Street	81 ORCHARD HILL CIRCLE, SUITE 103
City	STAUNTON
State	VA
ZIP	24401
Phone	434 924-8507
CertificateType	4
CertificateEffectiveDate	3/1/2024
CertificateExpirationDate	2/28/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024