49D2247604 CLIA NUMBER - INSIGHT MEMORY CARE CENTER

Laboratory Demographics

  • CLIA Code: 49D2247604
  • Facility Name: INSIGHT MEMORY CARE CENTER
  • Facility Address: 3953 PENDER DRIVE SUITE 100
    FAIRFAX, VA
    ZIP 22030
  • Facility Phone: 703 204-4664
  • Facility Type: Other - ADULT DAY CARE CENTER
  • Facility Type: Waiver
  • Lab Director: ANITA IRVIN
  • NPI Number: 1306851043
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2247604
LAB Type Other - ADULT DAY CARE CENTER
Facility Name INSIGHT MEMORY CARE CENTER
Street 3953 PENDER DRIVE SUITE 100
City FAIRFAX
State VA
ZIP 22030
Phone 703 204-4664
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Other - ADULT DAY CARE CENTER
Lab Director ANITA IRVIN

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