49D2126926 CLIA NUMBER - LEE'S HILL DIALYSIS

Laboratory Demographics

CLIA Number: 49D2126926

Facility Name: LEE'S HILL DIALYSIS

Facility Address:
4701 SPOTSYLVANIA PARKWAY - SUITE 109
FREDERICKSBURG, VA
ZIP 22407
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Facility Phone Number: 540 898-8004

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1952847675

Taxonomy: 261QE0700X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	3/7/2023
CertificateExpirationDate	3/6/2025
FacilityType	Waiver

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