CLIA lab
CLIA 49D1060000: Old Town Manassas Medical Center
Manassas, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D1060000 belongs to Old Town Manassas Medical Center in Manassas, VA.
Certificate of Waiver, effective October 12, 2026, expires October 11, 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
- October 12, 2026
- Certificate expiration
- October 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 2006
- Facility type
- Other practitioner
- 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
- 49D1060000
- Lab name
- Old Town Manassas Medical Center
- Address
- 9003 Church Street, Manassas, VA 20110
- Phone
- (703) 365-0397
- Fax
- (703) 365-0399
Annual test volume the lab reported
- Waived tests
- 250
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 Old Town Manassas Medical Center in Manassas?
49D1060000, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Old Town Manassas Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D1060000 expire?
The CMS file lists October 11, 2028 as the certificate expiration date; the certificate took effect October 12, 2026.