CLIA lab

CLIA 49D2013863: Giant Pharmacy #0754

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

CLIA number 49D2013863 belongs to Giant Pharmacy #0754 in Dale City, VA.

Certificate of Waiver, effective September 24, 2026, expires September 23, 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
September 24, 2026
Certificate expiration
September 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 24, 2010
Facility type
Health fair
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
49D2013863
Lab name
Giant Pharmacy #0754
Address
4309 Dale Boulevard, Health Fairs, Dale City, VA 22193
Phone
(703) 670-6179
Fax
(703) 670-8273

Annual test volume the lab reported

Waived tests
500

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

Other labs in Dale City, VA

Related

Questions

What is the CLIA number for Giant Pharmacy #0754 in Dale City?

49D2013863, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Giant Pharmacy #0754 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2013863 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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