CLIA lab
CLIA 49D0947821: 400 South Independence Avenue Opco LLC
Independence, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D0947821 belongs to 400 South Independence Avenue Opco LLC in Independence, VA.
Certificate of Waiver, effective June 24, 2026, expires June 23, 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 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 1998
- Facility type
- Skilled nursing or nursing facility
- 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
- 49D0947821
- Lab name
- 400 South Independence Avenue Opco LLC
- Address
- 400 South Independence Avenue, Independence, VA 24348
- Phone
- (276) 773-0303
- Fax
- (276) 773-0404
Annual test volume the lab reported
- Waived tests
- 25,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Grayson Health and RehabilitationCMS Care Compare ratings for the facility at the same street address
Other labs in Independence, VA
- DLP Twin County Physician Practices LLCCertificate of Waiver, Physician office49D2055308
- Food City Pharmacy #866Certificate of Waiver, Pharmacy49D2305522
- Grayson County Pubic SchoolsCertificate of Waiver, School or student health service49D1007120
- River North Correctional CenterCertificate of Waiver, Prison49D2138150
Related
Questions
What is the CLIA number for 400 South Independence Avenue Opco LLC in Independence?
49D0947821, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 400 South Independence Avenue Opco LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D0947821 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.