49D2137684 CLIA NUMBER - PENTAGON CITY DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2137684
  • Facility Name: PENTAGON CITY DIALYSIS
  • Facility Address: 1785 S HAYES STREET
    ARLINGTON, VA
    ZIP 22202
  • Facility Phone: 615 341-5875
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRMINDRA S. RANA
  • NPI Number: 1912386541
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2137684
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PENTAGON CITY DIALYSIS
Street 1785 S HAYES STREET
City ARLINGTON
State VA
ZIP 22202
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 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IRMINDRA S. RANA

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