49D2210899 CLIA NUMBER - VIRGINIA GARDENS, LLC DBA THE GARDENS AT FAIR OAKS

Laboratory Demographics

  • CLIA Code: 49D2210899
  • Facility Name: VIRGINIA GARDENS, LLC DBA THE GARDENS AT FAIR OAKS
  • Facility Address: 4310 FOREST HILL DRIVE
    FAIRFAX, VA
    ZIP 22030
  • Facility Phone: 703 278-1001
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HELAINE R. WALSH
  • NPI Number: 1821265968
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 49D2210899
LAB Type Assisted Living Facility
Facility Name VIRGINIA GARDENS, LLC DBA THE GARDENS AT FAIR OAKS
Street 4310 FOREST HILL DRIVE
City FAIRFAX
State VA
ZIP 22030
Phone 703 278-1001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Assisted Living Facility
Lab Director HELAINE R. WALSH

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