49D2144319 CLIA NUMBER - CHATHAM DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2144319
  • Facility Name: CHATHAM DIALYSIS
  • Facility Address: 13912 US HIGHWAY 29
    CHATHAM, VA
    ZIP 24531
  • Facility Phone: 434 432-1790
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ASAD EHTESHAM
  • NPI Number: 1235646845
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2144319
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CHATHAM DIALYSIS
Street 13912 US HIGHWAY 29
City CHATHAM
State VA
ZIP 24531
Phone 434 432-1790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ASAD EHTESHAM

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