49D2308257 CLIA NUMBER - NOVA DIALYSIS WOODBINE

Laboratory Demographics

  • CLIA Code: 49D2308257
  • Facility Name: NOVA DIALYSIS WOODBINE
  • Facility Address: 2729 KING ST
    ALEXANDRIA, VA
    ZIP 22302
  • Facility Phone: 301 577-1007
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRMINDRA RANA
  • NPI Number: 1316789027
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2308257
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name NOVA DIALYSIS WOODBINE
Street 2729 KING ST
City ALEXANDRIA
State VA
ZIP 22302
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 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IRMINDRA RANA

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