49D2155719 CLIA NUMBER - MERRIMAC TRAIL DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2155719
  • Facility Name: MERRIMAC TRAIL DIALYSIS
  • Facility Address: 469 MERRIMAC TRL
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 258-3601
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LEI CHEN
  • NPI Number: 1366924904
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2155719
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MERRIMAC TRAIL DIALYSIS
Street 469 MERRIMAC TRL
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 258-3601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LEI CHEN

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