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

Active since June 09, 2008
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: August 09, 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 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
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

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
Expired · 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 15

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

Specialist
224 CORNWALL ST NW
LEESBURG, VA 20176
Registered Nurse (Administrator)
224 CORNWALL ST NW, A
LEESBURG, VA 20176
Nurse Practitioner
224 CORNWALL ST NW
LEESBURG, VA 20176
Psychiatric Unit
224 CORNWALL ST NW
LEESBURG, VA 20176
Durable Medical Equipment & Medical Supplies
224 CORNWALL ST NW, SUITE 101
LEESBURG, VA 20176
Psychiatry & Neurology (Geriatric Psychiatry)
224 CORNWALL ST NW
LEESBURG, VA 20176
Nurse Practitioner (Family)
224 CORNWALL ST NW
LEESBURG, VA 20176
Psychiatry & Neurology (Geriatric Psychiatry)
224 CORNWALL ST NW
LEESBURG, VA 20176

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 Canyonlands Dialysis LLC's NPI number?

The NPI number for Canyonlands Dialysis LLC is 1669631297. It was assigned to this organization in the NPPES registry on June 9, 2008. The provider is doing business as Leesburg Virginia Dialysis.

Where is Canyonlands Dialysis LLC located?

Canyonlands Dialysis LLC is located at 224 Cornwall St NW, Leesburg, VA 20176. The listed phone number is (571) 258-1362.

What is Canyonlands Dialysis LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Canyonlands Dialysis LLC was last updated on November 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.