CLIA lab

CLIA 49D0876221: Pediatric Group PC at Manchester

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

CLIA number 49D0876221 belongs to Pediatric Group PC at Manchester in Alexandria, 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 15, 1993
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
49D0876221
Lab name
Pediatric Group PC at Manchester
Additional name
Lakes, the
Address
6354 Walker Lane, Suite 210, Alexandria, VA 22310
Phone
(703) 494-4811

Annual test volume the lab reported

Waived tests
920

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

Other labs in Alexandria, VA

Related

Questions

What is the CLIA number for Pediatric Group PC at Manchester in Alexandria?

49D0876221, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Group PC at Manchester hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D0876221 expire?

The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.

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