49D0902695 CLIA NUMBER - TYSONS CORNER DIALYSIS

Laboratory Demographics

  • CLIA Code: 49D0902695
  • Facility Name: TYSONS CORNER DIALYSIS
  • Facility Address: 8391 OLD COURTHOUSE ROAD - SUITE 160
    VIENNA, VA
    ZIP 22182
  • Facility Phone: (703) 824-8644
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RANJIT K. CHERIYAN
  • NPI Number: 1275730525
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 49D0902695
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TYSONS CORNER DIALYSIS
Street 8391 OLD COURTHOUSE ROAD - SUITE 160
City VIENNA
State VA
ZIP 22182
Phone 7038248644
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RANJIT K. CHERIYAN

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This page was last updated on: 5/18/2026