CLIA lab
CLIA 49D0692122: Boulevard Center Pediatrics Inc
Dumfries, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D0692122 belongs to Boulevard Center Pediatrics Inc in Dumfries, VA.
Certificate of Waiver, effective June 1, 2026, expires May 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
- June 1, 2026
- Certificate expiration
- May 31, 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
- 49D0692122
- Lab name
- Boulevard Center Pediatrics Inc
- Address
- 3733 Fettler Park Dr, Dumfries, VA 22025
- Phone
- (703) 670-0300
- Fax
- (703) 670-6759
Annual test volume the lab reported
- Waived tests
- 216
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dumfries, VA
- Alpha Medical and Behavioral HealthCertificate of Waiver, Physician office49D2326222
- Be Well Family Medicine & Wellness Centr PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office49D2255579
- Children First IncCertificate of Waiver, Community clinic49D0962292
- Dumfries Ambulatory Care CenterCertificate of Accreditation, Physician office49D0681032
- First Care Womens HealthCertificate of Waiver, Other49D2335407
- Franxesse Bataille, MD, PCPCertificate of Waiver, Physician office49D1054590
- Fresenius Medical Care DumfriesCertificate of Waiver, End stage renal disease dialysis facility49D2114490
- Healing Hands Health AgencyCertificate of Waiver, Home health agency49D2222902
- Inova Juniper Program - DumfriesCertificate of Waiver, Community clinic49D1046616
- Minute Clinic Diagnostic of Virginia, LLCCertificate of Waiver, Other49D1074075
Related
Questions
What is the CLIA number for Boulevard Center Pediatrics Inc in Dumfries?
49D0692122, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Boulevard Center Pediatrics Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D0692122 expire?
The CMS file lists May 31, 2028 as the certificate expiration date; the certificate took effect June 1, 2026.