49D1091308 CLIA NUMBER - MEDICAL IMAGING CENTER OF FAIRFAX

Laboratory Demographics

  • CLIA Code: 49D1091308
  • Facility Name: MEDICAL IMAGING CENTER OF FAIRFAX
  • Facility Address: 10721 MAIN STREET- G1 1ST FLOOR, SUITE G1 - TECH AREA
    FAIRFAX, VA
    ZIP 22030
  • Facility Phone: (703) 591-8020
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK C. LOPIANO, MD

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CLIA Record

Field Name Field Value
CLIA Number 49D1091308
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICAL IMAGING CENTER OF FAIRFAX
Street 10721 MAIN STREET- G1 1ST FLOOR, SUITE G1 - TECH AREA
City FAIRFAX
State VA
ZIP 22030
Phone 7035918020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK C. LOPIANO, MD

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This page was last updated on: 5/15/2026