49D2049381 CLIA NUMBER - FAIRFAX COLON AND RECTAL SURGERY, PC

Laboratory Demographics

  • CLIA Code: 49D2049381
  • Facility Name: FAIRFAX COLON AND RECTAL SURGERY, PC
  • Facility Address: 1806 N BEAUEGARD STREET - SUITE 1110
    ALEXANDRIA, VA
    ZIP 22311
  • Facility Phone: 703 280-2841
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD B. COLVIN
  • NPI Number: 1427169507
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 49D2049381
LAB Type Physician Office
Facility Name FAIRFAX COLON AND RECTAL SURGERY, PC
Street 1806 N BEAUEGARD STREET - SUITE 1110
City ALEXANDRIA
State VA
ZIP 22311
Phone 703 280-2841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director DONALD B. COLVIN

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