CLIA lab

CLIA 49D1101653: Fairfax Oral and Maxillofacial Surgery

Centreville, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 49D1101653 belongs to Fairfax Oral and Maxillofacial Surgery in Centreville, VA.

Certificate of Waiver, effective July 1, 2025, expires June 30, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
July 1, 2025
Certificate expiration
June 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 1, 2009
Facility type
Other
Ownership (control type)
Private
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
49D1101653
Lab name
Fairfax Oral and Maxillofacial Surgery
Address
6211 Centreville Road - Suite 800, Centreville, VA 20121
Phone
(703) 385-5777

Annual test volume the lab reported

Waived tests
6

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Fairfax Oral and Maxillofacial Surgery in Centreville?

49D1101653, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fairfax Oral and Maxillofacial Surgery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D1101653 expire?

The CMS file lists June 30, 2027 as the certificate expiration date; the certificate took effect July 1, 2025.

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