CLIA lab

CLIA 49D1039734: ST Marys Health Wagon, Inc

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

CLIA number 49D1039734 belongs to ST Marys Health Wagon, Inc in Wise, VA.

Certificate of Waiver, effective November 6, 2025, expires November 5, 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
November 6, 2025
Certificate expiration
November 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 20, 2005
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
49D1039734
Lab name
ST Marys Health Wagon, Inc
Address
5626 Patriot Drive, Wise, VA 24293
Phone
(276) 328-8850
Fax
(276) 328-8853

Annual test volume the lab reported

Waived tests
1,000

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 ST Marys Health Wagon, Inc in Wise?

49D1039734, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Marys Health Wagon, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D1039734 expire?

The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.

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