49D2108954 CLIA NUMBER - FAIRFAX CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 49D2108954
  • Facility Name: FAIRFAX CLINIC, LLC
  • Facility Address: 6408 C SEVEN CORNERS PLACE
    FALLS CHURCH, VA
    ZIP 22044
  • Facility Phone: 703 532-1909
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIET NGUYEN
  • NPI Number: 1467823575
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2108954
LAB Type Physician Office
Facility Name FAIRFAX CLINIC, LLC
Street 6408 C SEVEN CORNERS PLACE
City FALLS CHURCH
State VA
ZIP 22044
Phone 703 532-1909
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director VIET NGUYEN

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