49D0221903 CLIA NUMBER - FAIRFAX INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 49D0221903
  • Facility Name: FAIRFAX INTERNAL MEDICINE PC
  • Facility Address: 9844 MAIN STREET - SUITE B
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 273-3359
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WHITNEY E. REESE, MD
  • NPI Number: 1467606905
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0221903
LAB Type Physician Office
Facility Name FAIRFAX INTERNAL MEDICINE PC
Street 9844 MAIN STREET - SUITE B
City FAIRFAX
State VA
ZIP 22031
Phone 703 273-3359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director WHITNEY E. REESE, MD

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