49D2229092 CLIA NUMBER - CAPITAL HEARTCARE CENTER PC DBA AMERICAN EXECUTIVE HEALTH SYSTEM

Laboratory Demographics

  • CLIA Code: 49D2229092
  • Facility Name: CAPITAL HEARTCARE CENTER PC DBA AMERICAN EXECUTIVE HEALTH SYSTEM
  • Facility Address: 3085 NUTLEY STREET
    FAIRFAX, VA
    ZIP 22031
  • Facility Phone: 703 658-7060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VAN ANH T. NGUYEN
  • NPI Number: 1801844667
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2229092
LAB Type Physician Office
Facility Name CAPITAL HEARTCARE CENTER PC DBA AMERICAN EXECUTIVE HEALTH SYSTEM
Street 3085 NUTLEY STREET
City FAIRFAX
State VA
ZIP 22031
Phone 703 658-7060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director VAN ANH T. NGUYEN

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