49D0719572 CLIA NUMBER - FALLS CHURCH OPCO LLC

Laboratory Demographics

  • CLIA Code: 49D0719572
  • Facility Name: FALLS CHURCH OPCO LLC
  • Facility Address: 2100 POWHATAN STREET
    FALLS CHURCH, VA
    ZIP 22043
  • Facility Phone: 703 538-2400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DENNY G. DENNIS
  • NPI Number: 1518553650
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0719572
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FALLS CHURCH OPCO LLC
Street 2100 POWHATAN STREET
City FALLS CHURCH
State VA
ZIP 22043
Phone 703 538-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DENNY G. DENNIS

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