49D0676288 CLIA NUMBER - FAIRFAX NURSING CENTER

Laboratory Demographics

  • CLIA Code: 49D0676288
  • Facility Name: FAIRFAX NURSING CENTER
  • Facility Address: 10701 MAIN STREET ATTN ADMINISTRATOR
    FAIRFAX, VA
    ZIP 22030
  • Facility Phone: 703 273-7705
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RENEE B. CARLSON
  • NPI Number: 1386636116
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0676288
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAIRFAX NURSING CENTER
Street 10701 MAIN STREET ATTN ADMINISTRATOR
City FAIRFAX
State VA
ZIP 22030
Phone 703 273-7705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RENEE B. CARLSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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