CLIA lab

CLIA 49D0678421: Bon Secours Aylett Medical Center

King William, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 49D0678421 belongs to Bon Secours Aylett Medical Center in King William, VA.

Certificate of Waiver, effective April 1, 2026, expires March 31, 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
April 1, 2026
Certificate expiration
March 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Private
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
49D0678421
Lab name
Bon Secours Aylett Medical Center
Address
1041 Sharon Road, Suite 205, King William, VA 23086
Phone
(804) 769-3096
Fax
(804) 769-3710

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Related

Questions

What is the CLIA number for Bon Secours Aylett Medical Center in King William?

49D0678421, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bon Secours Aylett Medical Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D0678421 expire?

The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.

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