49D2100853 CLIA NUMBER - FAIR OAKS IMAGING CENTER, PC

Laboratory Demographics

  • CLIA Code: 49D2100853
  • Facility Name: FAIR OAKS IMAGING CENTER, PC
  • Facility Address: 4001 FAIR RIDGE DR, SUITE 103
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 703 385-5203
  • Facility Type: Other - INDEP RADIOLOGY PRAC
  • Facility Type: Waiver
  • Lab Director: SCOTT E. CASSAR
  • NPI Number: 1063437903
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 49D2100853
LAB Type Other - INDEP RADIOLOGY PRAC
Facility Name FAIR OAKS IMAGING CENTER, PC
Street 4001 FAIR RIDGE DR, SUITE 103
City FAIRFAX
State VA
ZIP 22033
Phone 703 385-5203
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2025
Certificate Expiration Date 8/23/2027
Facility Type Other - INDEP RADIOLOGY PRAC
Lab Director SCOTT E. CASSAR

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