49D2113615 CLIA NUMBER - OCEANA DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2113615
  • Facility Name: OCEANA DIALYSIS
  • Facility Address: 1375 OCEANA BLVD, SUITE 114
    VIRGINIA BEACH, VA
    ZIP 23454
  • Facility Phone: (757) 961-6239
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MADHU KOLLI
  • NPI Number: 1831544972
  • Taxonomy: 261QE0700X - Clinic/Center

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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 7579616239
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2026
Certificate Expiration Date 5/24/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MADHU KOLLI

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This page was last updated on: 5/15/2026