49D2205786 CLIA NUMBER - FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD

Laboratory Demographics

  • CLIA Code: 49D2205786
  • Facility Name: FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD
  • Facility Address: 12011 GOVERMENT CENTER PARKWAY SUITE 836
    FAIRFAX, VA
    ZIP 22035
  • Facility Phone: 571 264-4379
  • Facility Type: Other - CSB
  • Facility Type: Waiver
  • Lab Director: COLTON J. HAND
  • NPI Number: 1154356244
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2205786
LAB Type Other - CSB
Facility Name FAIRFAX-FALLS CHURCH COMMUNITY SERVICES BOARD
Street 12011 GOVERMENT CENTER PARKWAY SUITE 836
City FAIRFAX
State VA
ZIP 22035
Phone 571 264-4379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Other - CSB
Lab Director COLTON J. HAND

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