CLIA lab

CLIA 49D1071817: Dulles Pediatrics

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

CLIA number 49D1071817 belongs to Dulles Pediatrics in Herndon, VA.

Certificate of Waiver, effective August 1, 2025, expires July 31, 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
August 1, 2025
Certificate expiration
July 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 1, 2007
Facility type
Physician office
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
49D1071817
Lab name
Dulles Pediatrics
Address
131 Elden Street - Suite 140, Herndon, VA 20170
Phone
(703) 707-2050
Fax
(703) 707-2052

Annual test volume the lab reported

Waived tests
300

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 Dulles Pediatrics in Herndon?

49D1071817, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dulles Pediatrics hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D1071817 expire?

The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.

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