49D2117706 CLIA NUMBER - RUTHERFORD CROSSING DIALYSIS

Laboratory Demographics

CLIA Number: 49D2117706

Facility Name: RUTHERFORD CROSSING DIALYSIS

Facility Address:
141 MARKET STREET
WINCHESTER, VA
ZIP 22603
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Facility Phone Number: 540 665-5169

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1881047637

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D2117706
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	RUTHERFORD CROSSING DIALYSIS
Street	141 MARKET STREET
City	WINCHESTER
State	VA
ZIP	22603
Phone	540 665-5169
CertificateType	4
CertificateEffectiveDate	8/22/2022
CertificateExpirationDate	8/21/2024
FacilityType	Waiver

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