49D2322387 CLIA NUMBER - LEGACY DIALYSIS OF RESTON CLINIC LLC

Laboratory Demographics

  • CLIA Code: 49D2322387
  • Facility Name: LEGACY DIALYSIS OF RESTON CLINIC LLC
  • Facility Address: 1800 ALEXANDER BELL DR SUITE 160
    RESTON, VA
    ZIP 20191
  • Facility Phone: 305 807-8807
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NEERAJA TANDRA
  • NPI Number: 1316643067
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2322387
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LEGACY DIALYSIS OF RESTON CLINIC LLC
Street 1800 ALEXANDER BELL DR SUITE 160
City RESTON
State VA
ZIP 20191
Phone 305 807-8807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NEERAJA TANDRA

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