CLIA lab

CLIA 49D1048959: Pediatric Group, Pc,the

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

CLIA number 49D1048959 belongs to Pediatric Group, Pc,the in Chantilly, VA.

Certificate of Waiver, effective December 16, 2025, expires December 15, 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
December 16, 2025
Certificate expiration
December 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 16, 2005
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
49D1048959
Lab name
Pediatric Group, Pc,the
Address
3914 Centreville Road - Suite 101, Chantilly, VA 20151
Phone
(703) 481-8600
Fax
(703) 481-8618

Annual test volume the lab reported

Waived tests
40,000

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

Affiliated CLIA numbers

Other labs in Chantilly, VA

Related

Questions

What is the CLIA number for Pediatric Group, Pc,the in Chantilly?

49D1048959, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Group, Pc,the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D1048959 expire?

The CMS file lists December 15, 2027 as the certificate expiration date; the certificate took effect December 16, 2025.

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