49D2163319 CLIA NUMBER - NOVA DIALYSIS AT SLEEPY HOLLOW

Laboratory Demographics

  • CLIA Code: 49D2163319
  • Facility Name: NOVA DIALYSIS AT SLEEPY HOLLOW
  • Facility Address: 6700 COLUMBIA PIKE
    ANNANDALE, VA
    ZIP 22003
  • Facility Phone: 301 577-1007
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRMINDRA S. RANA
  • NPI Number: 1083257257
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2163319
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NOVA DIALYSIS AT SLEEPY HOLLOW
Street 6700 COLUMBIA PIKE
City ANNANDALE
State VA
ZIP 22003
Phone 301 577-1007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IRMINDRA S. RANA

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