49D2159788 CLIA NUMBER - VIENNA DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2159788
  • Facility Name: VIENNA DIALYSIS
  • Facility Address: 8605 WESTWOOD CENTER DR, STE 100
    VIENNA, VA
    ZIP 22182
  • Facility Phone: 571 633-0790
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CAROLINE KWON
  • NPI Number: 1528533171
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2159788
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name VIENNA DIALYSIS
Street 8605 WESTWOOD CENTER DR, STE 100
City VIENNA
State VA
ZIP 22182
Phone 571 633-0790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2024
Certificate Expiration Date 12/26/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CAROLINE KWON

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