LEGACY DIALYSIS OF FAIRFAX LLC
NPI 1427534072
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Fairfax, VA

Q: What is Legacy Dialysis Of Fairfax LLC's NPI number?

The NPI number for Legacy Dialysis Of Fairfax LLC is 1427534072. It was assigned to this organization in the NPPES registry on July 17, 2018.

Q: What is Legacy Dialysis Of Fairfax LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Q: What quality rating does Legacy Dialysis Of Fairfax LLC have?

CMS rates Legacy Dialysis Of Fairfax 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

Active since July 17, 2018CLIA 49D2183228 · Waiver

4/5

Overall Rating

10565 FAIRFAX BLVD STE 205, FAIRFAX, VA 22030(571) 340-3221(571) 340-3404 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, Apr 15, 2020, Sep 13, 2019 and 1 more (4 updates tracked since 2018).

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About Legacy Dialysis Of Fairfax Llc NPPES

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

LEGACY DIALYSIS OF FAIRFAX LLC (NPI 1427534072) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Fairfax, Virginia and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Myrlene Barrera, Director, as its authorized official.

NPPES Registry Identity

NPI1427534072

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameLEGACY DIALYSIS OF FAIRFAX LLC

Location Address10565 FAIRFAX BLVD STE 205Fairfax, VA 22030-3104

Mailing Address50 E Sample Rd Ste 301Pompano Beach, FL 33064-3552 · (954) 781-7741 · Fax (888) 349-8679

Phone(571) 340-3221

Fax(571) 340-3404

Organization SubpartNo

Authorized OfficialMyrlene BarreraDirector · (305) 778-8277

Enumeration DateJuly 17, 2018

Last NPPES UpdateFebruary 26, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1427534072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

10565 FAIRFAX BLVD STE 205, 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 of Waiver 49D2183228

Legacy Dialysis Of Fairfax, LLC · Fairfax, VA

Active · expires Apr 30, 2028

CLIA Number49D2183228

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateMay 1, 2026

Certificate Expiration DateApril 30, 2028

Laboratory DirectorMohammad Sanaei Argekani

Laboratory Phone(571) 340-3221

Laboratory LocationLegacy Dialysis Of Fairfax, LLC10565 Fairfax Boulevard # 205, Fairfax, VA 22030

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Dialysis Facility Quality Ratings CMS Care Compare

Quality ratings, services and patient survey results for Legacy Dialysis Of Fairfax (CMS certification number 492737), from CMS Care Compare.

Legacy Dialysis Of Fairfax

Dialysis facility · Fairfax, VA

4/5 CMS RatingRating period January 2020 to December 2023

OwnershipProfit

CMS Certification Number492737

ESRD NetworkNetwork 5

Hemodialysis Stations3

Medicare-Certified SinceMay 20, 2020

Location10565 Fairfax Blvd Suite 205Fairfax, VA 22030 · Fairfax County

Phone(571) 340-3221

Services Offered

Peritoneal dialysis

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 Legacy Dialysis Of Fairfax LLC's NPI number?

The NPI number for Legacy Dialysis Of Fairfax LLC is 1427534072. It was assigned to this organization in the NPPES registry on July 17, 2018.

Where is Legacy Dialysis Of Fairfax LLC located?

Legacy Dialysis Of Fairfax LLC is located at 10565 Fairfax Blvd Ste 205, Fairfax, VA 22030. The listed phone number is (571) 340-3221.

What is Legacy Dialysis Of Fairfax LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Legacy Dialysis Of Fairfax LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2183228) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Legacy Dialysis Of Fairfax LLC a Medicare-certified dialysis facility?

Yes. Legacy Dialysis Of Fairfax is a Medicare-certified dialysis facility, certified since May 20, 2020.

What quality rating does Legacy Dialysis Of Fairfax LLC have?

CMS rates Legacy Dialysis Of Fairfax 4 out of 5 stars on Care Compare. The full measure detail is in the Dialysis Facility Quality section above.

When was this NPI record last updated?

The NPPES record for Legacy Dialysis Of Fairfax LLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.