CLIA lab
CLIA 49D0223740: Pediatric Group PC at Lake Ridge,the
Woodbridge, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D0223740 belongs to Pediatric Group PC at Lake Ridge,the in Woodbridge, VA.
Certificate of Waiver, effective May 21, 2026, expires May 20, 2028.
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
- May 21, 2026
- Certificate expiration
- May 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 49D0223740
- Lab name
- Pediatric Group PC at Lake Ridge,the
- Address
- 13001 Summit School Road, Woodbridge, VA 22192
- Phone
- (703) 690-3119
Annual test volume the lab reported
- Waived tests
- 1,311
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Afc Urgent Care WoodbridgeCertificate of Accreditation, Physician office49D2271010
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- Allervie HealthCertificate of Waiver, Physician office49D2350932
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- Amy L Friedenthal, MD, PCCertificate for Provider-Performed Microscopy Procedures, Physician office49D1018324
Related
Questions
What is the CLIA number for Pediatric Group PC at Lake Ridge,the in Woodbridge?
49D0223740, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Group PC at Lake Ridge,the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D0223740 expire?
The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.