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GEORGE MASON UNIVERSITY STUDENT HEALTH SERVICE
NPI 1336588367
Clinic/Center - Student Health in Fairfax, VA

Active since June 24, 2013CLIA 49D0872865 · Microscopy
4400 UNIVERSITY DR, MS 2 D3, FAIRFAX, VA 22030(703) 993-2831(703) 993-4365 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About George Mason University Student Health Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE MASON UNIVERSITY STUDENT HEALTH SERVICE (NPI 1336588367) is a healthcare organization registered as a student health in Fairfax, Virginia and active in the NPI registry since June 2013. The organization holds a CLIA Microscopy certificate valid through October 4, 2027 and lists Wagida Abdalla, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336588367
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameGEORGE MASON UNIVERSITY STUDENT HEALTH SERVICE
Location Address4400 UNIVERSITY DR, MS 2 D3Fairfax, VA 22030-4422
Mailing Address4400 University Dr, Ms 2 D3Fairfax, VA 22030-4422 · (703) 993-2831 · Fax (703) 993-4365
Phone(703) 993-2831
Fax(703) 993-4365
Organization SubpartNo
Authorized OfficialWagida AbdallaExecutive Director · (703) 993-2831
Enumeration DateJune 24, 2013
✔ NPI 1336588367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
4400 UNIVERSITY DR, Fairfax, VA 22030
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D0872865

George Mason Univ Student Health Services · Fairfax, VA
Active · expires Oct 4, 2027
CLIA Number49D0872865
Laboratory TypeSchool/Student Health Service
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorErin E. Wisman
Laboratory Phone(703) 993-2831
Laboratory LocationGeorge Mason Univ Student Health Services4469 Aquia Creek Lane Student Union Building 1, Fairfax, VA 22030
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIYA PATEL
Student in an Organized Health Care Education/Training Program
4400 UNIVERSITY DR
FAIRFAX, VA 22030
Fairfax City (954) 288-2932
LATIFA BENSOUIDI
Student in an Organized Health Care Education/Training Program
4400 UNIVERSITY DR
FAIRFAX, VA 22030
Fairfax City (703) 993-1000
MS. ROCIO RODRIGUEZ
Social Worker
4400 UNIVERSITY DR
FAIRFAX, VA 22030
Fairfax City (210) 288-5957
DR. OLYMPIA P DALLAS MD
Specialist
4400 UNIVERSITY DR, MS 2D3 GEORGE MASON UNIVERSITY STUDENT HEALTH
FAIRFAX, VA 22030
Fairfax City (703) 993-2807
VINH NGUYEN KIEU PHARMD, BCACP
Pharmacist
4400 UNIVERSITY DR, MSN 3C4
FAIRFAX, VA 22030
Fairfax City (703) 993-1946
ALI AHMAD
Specialist/Technologist (Athletic Trainer)
4400 UNIVERSITY DR
FAIRFAX, VA 22030
Fairfax City (703) 303-1311
CHERYL HAIRSTON ATC
Specialist/Technologist (Athletic Trainer)
4400 UNIVERSITY DR
FAIRFAX, VA 22030
Fairfax City (703) 993-3277
ANGELIKA KIA VARGAS
Respiratory Therapist, Certified
4400 UNIVERSITY DR
FAIRFAX, VA 22030
Fairfax City (305) 781-8375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is George Mason University Student Health Service's NPI number?

The NPI number for George Mason University Student Health Service is 1336588367. It was assigned to this organization in the NPPES registry on June 24, 2013.

Where is George Mason University Student Health Service located?

George Mason University Student Health Service is located at 4400 University Dr Ms 2 D3, Fairfax, VA 22030. The listed phone number is (703) 993-2831.

What is George Mason University Student Health Service's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Does George Mason University Student Health Service hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D0872865) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for George Mason University Student Health Service was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.