CLIA lab

CLIA 49D0975855: Lake Monticello Primary Care

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

CLIA number 49D0975855 belongs to Lake Monticello Primary Care in Palmyra, VA.

Certificate for Provider-Performed Microscopy Procedures, effective November 15, 2025, expires November 14, 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 for Provider-Performed Microscopy Procedures
Certificate effective
November 15, 2025
Certificate expiration
November 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 19, 2000
Facility type
Physician office
Ownership (control type)
Other
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
49D0975855
Lab name
Lake Monticello Primary Care
Address
77 Market Street - Suite E, Lake Monticello Primary Care, Palmyra, VA 22963
Phone
(434) 589-9030
Fax
(434) 589-9040

Annual test volume the lab reported

Waived tests
100
Provider-performed microscopy tests
120
Total
220

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 Lake Monticello Primary Care in Palmyra?

49D0975855, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Monticello Primary Care hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 49D0975855 expire?

The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.

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