49D2126926 CLIA NUMBER - LEE'S HILL DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2126926
  • Facility Name: LEE'S HILL DIALYSIS
  • Facility Address: 4701 SPOTSYLVANIA PARKWAY - SUITE 109
    FREDERICKSBURG, VA
    ZIP 22407
  • Facility Phone: 540 898-8004
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ETHAN S. KO
  • NPI Number: 1952847675
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2126926
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LEE'S HILL DIALYSIS
Street 4701 SPOTSYLVANIA PARKWAY - SUITE 109
City FREDERICKSBURG
State VA
ZIP 22407
Phone 540 898-8004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ETHAN S. KO

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