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LEGACY DIALYSIS OF RESTON CLINIC
NPI 1316643067
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Reston, VA

Active since February 03, 2023CLIA 49D2322387 · Waiver
1800 ALEXANDER BELL DR STE 160, RESTON, VA 20191(954) 781-7741(888) 349-8679 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2025, Mar 6, 2023, Mar 4, 2023 and 1 more (4 updates tracked since 2023).

About Legacy Dialysis Of Reston Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY DIALYSIS OF RESTON CLINIC (NPI 1316643067) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Reston, Virginia and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Marcia Anjos Santos, Coo, as its authorized official.

NPPES Registry Identity

NPI1316643067
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameLEGACY DIALYSIS OF RESTON CLINIC
Location Address1800 ALEXANDER BELL DR STE 160Reston, VA 20191-5488
Mailing Address50 E Sample Rd Ste 301Pompano Beach, FL 33064-3552 · (954) 781-7741
Phone(954) 781-7741
Fax(888) 349-8679
Organization SubpartNo
Authorized OfficialMarcia Anjos SantosCoo · (954) 781-7741
Enumeration DateFebruary 3, 2023
Last NPPES UpdateApril 21, 20254 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1316643067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
1800 ALEXANDER BELL DR STE 160, Reston, VA 20191
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2322387

Legacy Dialysis Of Reston Clinic LLC · Reston, VA
Active · expires Apr 20, 2027
CLIA Number49D2322387
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorNeeraja Tandra
Laboratory Phone(305) 807-8807
Laboratory LocationLegacy Dialysis Of Reston Clinic LLC1800 Alexander Bell Dr Suite 160, Reston, VA 20191
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Legacy Dialysis of Reston (CMS certification number 492746), from CMS Care Compare.

Legacy Dialysis of Reston

Dialysis facility · Reston, VA
OwnershipProfit
CMS Certification Number492746
ESRD NetworkNetwork 5
Hemodialysis Stations3
Medicare-Certified SinceJuly 26, 2023
Location1897 Preston White Dr #105Reston, VA 20191 · Fairfax County
Phone(571) 313-1151
Services Offered
In-center hemodialysis Peritoneal dialysis Home hemodialysis training Evening shifts (after 5 PM)

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Dialysis Of Reston Clinic's NPI number?

The NPI number for Legacy Dialysis Of Reston Clinic is 1316643067. It was assigned to this organization in the NPPES registry on February 3, 2023.

Where is Legacy Dialysis Of Reston Clinic located?

Legacy Dialysis Of Reston Clinic is located at 1800 Alexander Bell Dr Ste 160, Reston, VA 20191. The listed phone number is (954) 781-7741.

What is Legacy Dialysis Of Reston Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Legacy Dialysis Of Reston Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2322387) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Legacy Dialysis Of Reston Clinic a Medicare-certified dialysis facility?

Yes. Legacy Dialysis of Reston is a Medicare-certified dialysis facility, certified since July 26, 2023.

When was this NPI record last updated?

The NPPES record for Legacy Dialysis Of Reston Clinic was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.