49D2137105 CLIA NUMBER - ANNANDALE DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2137105
  • Facility Name: ANNANDALE DIALYSIS
  • Facility Address: 7060 COLUMBIA PIKE
    ANNANDALE, VA
    ZIP 22003
  • Facility Phone: 703 256-2569
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KEVIN LOWERY
  • NPI Number: 1588033823
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 49D2137105
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANNANDALE DIALYSIS
Street 7060 COLUMBIA PIKE
City ANNANDALE
State VA
ZIP 22003
Phone 703 256-2569
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KEVIN LOWERY

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