CLIA lab
CLIA 49D2229962: Clementine Fairfax
Fairfax Station, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2229962 belongs to Clementine Fairfax in Fairfax Station, VA.
Certificate of Waiver, effective July 19, 2025, expires July 18, 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 19, 2025
- Certificate expiration
- July 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2021
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 49D2229962
- Lab name
- Clementine Fairfax
- Address
- 11329 Henderson Rd, Fairfax Station, VA 22039
- Phone
- (571) 655-6440
- Fax
- (571) 655-2132
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Clementine Fairfax in Fairfax Station?
49D2229962, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clementine Fairfax hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2229962 expire?
The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.