49D2123354 CLIA NUMBER - GLENVAR DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2123354
  • Facility Name: GLENVAR DIALYSIS
  • Facility Address: 3737 WEST MAIN STREET SUITE 103
    SALEM, VA
    ZIP 24153
  • Facility Phone: 615 341-5875
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PAUL F. LAFLAM
  • NPI Number: 1215485883
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2123354
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GLENVAR DIALYSIS
Street 3737 WEST MAIN STREET SUITE 103
City SALEM
State VA
ZIP 24153
Phone 615 341-5875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PAUL F. LAFLAM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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