49D2113615 CLIA NUMBER - OCEANA DIALYSIS

Laboratory Demographics

CLIA Number: 49D2113615

Facility Name: OCEANA DIALYSIS

Facility Address:
1375 OCEANA BLVD, SUITE 114
VIRGINIA BEACH, VA
ZIP 23454
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Facility Phone Number: 757 961-6239

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1831544972

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D2113615
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	OCEANA DIALYSIS
Street	1375 OCEANA BLVD, SUITE 114
City	VIRGINIA BEACH
State	VA
ZIP	23454
Phone	757 961-6239
CertificateType	4
CertificateEffectiveDate	5/25/2022
CertificateExpirationDate	5/24/2024
FacilityType	Waiver

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