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LEESBURG VIRGINIA DIALYSIS
NPI 1669631297
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Leesburg, VA

Active since June 09, 2008CLIA 49D1087986 · Waiver
224 CORNWALL ST NW, LEESBURG, VA 20176(571) 258-1362(571) 258-1342 Get Directions Write a Review

NPPES record last updated: November 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leesburg Virginia Dialysis NPPES

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

LEESBURG VIRGINIA DIALYSIS (NPI 1669631297) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Leesburg, Virginia and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through August 13, 2026 and lists Jim Hilger, Vice President, as its authorized official.

NPPES Registry Identity

NPI1669631297
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCANYONLANDS DIALYSIS LLC
Location Address224 CORNWALL ST NWLeesburg, VA 20176-2701
Mailing Address5200 Virginia Way, Ste 400 L&cBrentwood, TN 37027-7569 · (615) 320-4521 · Fax (866) 594-2894
Phone(571) 258-1362
Fax(571) 258-1342
Organization SubpartNo
Authorized OfficialJim HilgerVice President · (253) 382-1919
Enumeration DateJune 9, 2008
Last NPPES UpdateNovember 25, 2008
✔ NPI 1669631297 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
224 CORNWALL ST NW, Leesburg, VA 20176
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Other Names 1

Doing Business AsLeesburg Virginia Dialysis

Other Identifiers 2

Medicare OSCAR/certification492654
Medicaid1669631297VA

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 49D1087986

Leesburg Virginia Dialysis · Leesburg, VA
Active · expires Aug 13, 2026
CLIA Number49D1087986
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorAli R. Assefi
Laboratory Phone(571) 258-1362
Laboratory LocationLeesburg Virginia Dialysis224d Cornwall Street, NW - Suite 100, Leesburg, VA 20176
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTHUR SCOTT ROSECAN M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
224 CORNWALL ST NW
LEESBURG, VA 20176
Loudoun County (703) 779-5222
MS. DEBRA D DEVER RN MN
Registered Nurse (Administrator)
224 CORNWALL ST NW, A
LEESBURG, VA 20176
Loudoun County (703) 443-2000
PAGE MOSS FLETCHER MD PC
Psychiatry & Neurology (Geriatric Psychiatry)
224 CORNWALL ST NW
LEESBURG, VA 20176
Loudoun County (703) 779-4020
MRS. LISA MARIE BORIS CRNP
Nurse Practitioner
224 CORNWALL ST NW
LEESBURG, VA 20176
Loudoun County (703) 443-2000
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Specialist
224 CORNWALL ST NW
LEESBURG, VA 20176
Loudoun County (703) 698-4483
FAIRFAX RADIOLOGICAL CONSULTANTS PC
Specialist
224 CORNWALL ST NW
LEESBURG, VA 20176
Loudoun County (703) 698-4483
SLEEPMED THERAPIES INC
Durable Medical Equipment & Medical Supplies
224 CORNWALL ST NW, SUITE 101
LEESBURG, VA 20176
Loudoun County (703) 777-7510
INOVA PHYSICIAN PARTNERS, INC. - SPECIALISTS
Orthopaedic Surgery
224 CORNWALL ST NW
LEESBURG, VA 20176
Loudoun County (703) 777-3262

Frequently Asked Questions

What is CANYONLANDS DIALYSIS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1669631297, enumerated as an "organization" on June 09, 2008.

Where is the provider located?

The provider is located at 224 CORNWALL ST NW LEESBURG, VA 20176 and the phone number is (571) 258-1362.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

What insurance does CANYONLANDS DIALYSIS LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.