CLIA lab
CLIA 49D0867763: Powhatan Correctional Lab-Med Facility
State Farm, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D0867763 belongs to Powhatan Correctional Lab-Med Facility in State Farm, VA.
Certificate of Waiver, effective May 24, 2025, expires May 23, 2027.
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 24, 2025
- Certificate expiration
- May 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Other
- Ownership (control type)
- Government, state
- 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
- 49D0867763
- Lab name
- Powhatan Correctional Lab-Med Facility
- Address
- 3600 Woods Way, State Farm, VA 23160
- Phone
- (804) 372-4705
- Fax
- (804) 403-3495
Annual test volume the lab reported
- Waived tests
- 16,620
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Powhatan Correctional Lab-Med Facility in State Farm?
49D0867763, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Powhatan Correctional Lab-Med Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D0867763 expire?
The CMS file lists May 23, 2027 as the certificate expiration date; the certificate took effect May 24, 2025.