49D2150297 CLIA NUMBER - DALEVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2150297
  • Facility Name: DALEVILLE DIALYSIS
  • Facility Address: 245 COMMONS PKWY
    DALEVILLE, VA
    ZIP 24083
  • Facility Phone: 540 591-5235
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PRAJWOL R. PANT
  • NPI Number: 1679064018
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2150297
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DALEVILLE DIALYSIS
Street 245 COMMONS PKWY
City DALEVILLE
State VA
ZIP 24083
Phone 540 591-5235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PRAJWOL R. PANT

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