CLIA lab

CLIA 49D1092769: Bon Secours OB GYN Southside

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

CLIA number 49D1092769 belongs to Bon Secours OB GYN Southside in Petersburg, VA.

Certificate for Provider-Performed Microscopy Procedures, effective December 3, 2024, expires December 2, 2026.

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
December 3, 2024
Certificate expiration
December 2, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 3, 2008
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
49D1092769
Lab name
Bon Secours OB GYN Southside
Address
210 Medical Park Boulevard - Suite 150, Petersburg, VA 23805
Phone
(804) 765-5206
Fax
(804) 765-5377

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
200
Total
1,200

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 Bon Secours OB GYN Southside in Petersburg?

49D1092769, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bon Secours OB GYN Southside hold?

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

When does CLIA 49D1092769 expire?

The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.

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