49D2191275 CLIA NUMBER - SOUTHERN TIDE DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D2191275
  • Facility Name: SOUTHERN TIDE DIALYSIS
  • Facility Address: 7525 TIDEWATER DR STE 37
    NORFOLK, VA
    ZIP 23505
  • Facility Phone: (757) 852-0518
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: HOOMAN SADR

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CLIA Record

Field Name Field Value
CLIA Number 49D2191275
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SOUTHERN TIDE DIALYSIS
Street 7525 TIDEWATER DR STE 37
City NORFOLK
State VA
ZIP 23505
Phone 7578520518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director HOOMAN SADR

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This page was last updated on: 5/18/2026