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CHANTILLY WALK-IN CLINIC
NPI 1972509735
Clinic/Center in Fairfax, VA

Active since June 24, 2005CLIA 49D0860180 · Waiver
13037 LEE JACKSON HWY, STE D, FAIRFAX, VA 22033(703) 631-0791(703) 968-4227 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chantilly Walk-in Clinic NPPES

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

CHANTILLY WALK-IN CLINIC (NPI 1972509735) is a healthcare organization registered as a clinic/center in Fairfax, Virginia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Samir Nazam, Physician, as its authorized official.

NPPES Registry Identity

NPI1972509735
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHANTILLY WALK-IN CLINIC
Location Address13037 LEE JACKSON HWY, STE DFairfax, VA 22033-2004
Mailing AddressPo Box 221226Chantilly, VA 20153-1226 · (703) 631-0791 · Fax (703) 968-4227
Phone(703) 631-0791
Fax(703) 968-4227
Organization SubpartNo
Authorized OfficialSamir NazamPhysician · (703) 631-0791
Enumeration DateJune 24, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972509735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in VA · 0101036326
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
13037 LEE JACKSON HWY, Fairfax, VA 22033
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Other Identifiers 1

Other292549VA · B/c Provider #

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 49D0860180

Chantilly Walk-In Clinic · Chantilly, VA
Active · expires Aug 31, 2026
CLIA Number49D0860180
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSamir Nazam
Laboratory Phone(703) 631-0791
Laboratory LocationChantilly Walk-In Clinic14016-C Sullyfield Circle, Chantilly, VA 20151
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chantilly Walk-In Clinic's NPI number?

The NPI number for Chantilly Walk-In Clinic is 1972509735. It was assigned to this organization in the NPPES registry on June 24, 2005.

Where is Chantilly Walk-In Clinic located?

Chantilly Walk-In Clinic is located at 13037 Lee Jackson Hwy Ste D, Fairfax, VA 22033. The listed phone number is (703) 631-0791.

What is Chantilly Walk-In Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Chantilly Walk-In Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0860180) is associated with this NPI, valid through August 31, 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 Chantilly Walk-In Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.