49D0887041 CLIA NUMBER - CCSP NOVA, LLC DBA POTOMAC FALLS HEALTH & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 49D0887041
  • Facility Name: CCSP NOVA, LLC DBA POTOMAC FALLS HEALTH & REHAB CENTER
  • Facility Address: 46531 HARRY BYRD HIGHWAY
    STERLING, VA
    ZIP 20164
  • Facility Phone: 703 834-5800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ZOIE NIKOV
  • NPI Number: 1710291679
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0887041
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CCSP NOVA, LLC DBA POTOMAC FALLS HEALTH & REHAB CENTER
Street 46531 HARRY BYRD HIGHWAY
City STERLING
State VA
ZIP 20164
Phone 703 834-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ZOIE NIKOV

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