49D2269748 CLIA NUMBER - SUMMIT HEALTH

Laboratory Demographics

  • CLIA Code: 49D2269748
  • Facility Name: SUMMIT HEALTH
  • Facility Address: 13135 ROUTE 50, SUITE 150
    FAIRFAX, VA
    ZIP 22033
  • Facility Phone: 571 350-0929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. GRIMSLEY
  • NPI Number: 1275318651
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2269748
LAB Type Physician Office
Facility Name SUMMIT HEALTH
Street 13135 ROUTE 50, SUITE 150
City FAIRFAX
State VA
ZIP 22033
Phone 571 350-0929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director JOHN R. GRIMSLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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