MIRA GENETIX
NPI 1912787144
Clinical Medical Laboratory in Fairfax, VA

Active since October 04, 2023CLIA 49D2289139 · Accreditation
12011 ROUTE 50 STE 200, FAIRFAX, VA 22033(866) 324-9804(866) 324-3280 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Oct 4, 2023 (2 updates tracked since 2023).

About Mira Genetix NPPES

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

MIRA GENETIX (NPI 1912787144) is a healthcare organization registered as a clinical medical laboratory in Fairfax, Virginia and active in the NPI registry since October 2023. The organization holds an CLIA Accreditation certificate valid through December 16, 2026 and lists Michael Ray, Coo, as its authorized official.

NPPES Registry Identity

NPI1912787144
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMIRA GENETIX
Location Address12011 ROUTE 50 STE 200Fairfax, VA 22033-3310
Mailing Address12011 Route 50 Ste 200Fairfax, VA 22033-3310 · (866) 324-9804 · Fax (866) 324-3280
Fax(866) 324-3280
Organization SubpartNo
Authorized OfficialMichael RayCoo · (866) 324-9804
Enumeration DateOctober 4, 2023
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
NPI 1912787144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
12011 ROUTE 50 STE 200, Fairfax, VA 22033

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 Accreditation 49D2289139

Mira Genetix · Fairfax, VA
Active · expires Dec 16, 2026
CLIA Number49D2289139
Laboratory TypeIndependent
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorDr. Joaquin Villar
Laboratory Phone(866) 324-9504
Laboratory LocationMira Genetix12011 Route 50, Suite 200, Fairfax, VA 22033
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 47

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
12,446 services839 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
2,933 services703 patients
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique 87641
A detection test by nucleic acid for MRSA bacteria uses an amplified probe technique. It's a lab procedure that identifies the presence of MRSA, a type of bacteria resistant to many antibiotics. This test helps in deciding the best treatment.
1,234 services853 patients
Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653
A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.
1,134 services777 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
775 services573 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
714 services308 patients

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 Mira Genetix's NPI number?

The NPI number for Mira Genetix is 1912787144. It was assigned to this organization in the NPPES registry on October 4, 2023.

Where is Mira Genetix located?

Mira Genetix is located at 12011 Route 50 Ste 200, Fairfax, VA 22033. The listed phone number is (866) 324-9804.

What is Mira Genetix's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Mira Genetix hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 49D2289139) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mira Genetix was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.