CLIA lab

CLIA 49D2004817: Potomac Urology Center, PC

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

CLIA number 49D2004817 belongs to Potomac Urology Center, PC in Woodbridge, 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
March 12, 2010
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
49D2004817
Lab name
Potomac Urology Center, PC
Address
2296 Opitz Boulevard - Suite 350, Attn M J Portell, Woodbridge, VA 22191
Phone
(703) 680-2111
Fax
(703) 878-3939

Annual test volume the lab reported

Waived tests
800

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

Affiliated CLIA numbers

Other labs in Woodbridge, VA

Related

Questions

What is the CLIA number for Potomac Urology Center, PC in Woodbridge?

49D2004817, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Potomac Urology Center, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2004817 expire?

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

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