49D2162453 CLIA NUMBER - JAMES RIVER HOME DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2162453
  • Facility Name: JAMES RIVER HOME DIALYSIS
  • Facility Address: 13859 VILLAGE PLACE DR
    MIDLOTHIAN, VA
    ZIP 23114
  • Facility Phone: 804 378-2170
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DARAN G. GLENN
  • NPI Number: 1720552110
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2162453
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name JAMES RIVER HOME DIALYSIS
Street 13859 VILLAGE PLACE DR
City MIDLOTHIAN
State VA
ZIP 23114
Phone 804 378-2170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DARAN G. GLENN

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