49D2200175 CLIA NUMBER - AVALON IN HOME NURSING AND REHABILITATION LLC

Laboratory Demographics

  • CLIA Code: 49D2200175
  • Facility Name: AVALON IN HOME NURSING AND REHABILITATION LLC
  • Facility Address: 200 LITTLE FALLS STREET
    FALLS CHURCH, VA
    ZIP 22046
  • Facility Phone: 703 269-2238
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CESAR RIOS-VILLENA
  • NPI Number: 1811269970
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2200175
LAB Type Home Health Agency
Facility Name AVALON IN HOME NURSING AND REHABILITATION LLC
Street 200 LITTLE FALLS STREET
City FALLS CHURCH
State VA
ZIP 22046
Phone 703 269-2238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Home Health Agency
Lab Director CESAR RIOS-VILLENA

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This page was last updated on: 6/4/2025