CLIA lab
CLIA 49D2039724: Sussex I State Prison
Waverly, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2039724 belongs to Sussex I State Prison in Waverly, VA.
Certificate of Waiver, effective April 17, 2026, expires April 16, 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
- April 17, 2026
- Certificate expiration
- April 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 2012
- Facility type
- Prison
- Ownership (control type)
- Government, state
- 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
- 49D2039724
- Lab name
- Sussex I State Prison
- Address
- 24414 Mussel White Drive, Attn Linda Ray, Medical Deprtment, Waverly, VA 23891
- Phone
- (804) 834-1384
- Fax
- (804) 834-1010
Annual test volume the lab reported
- Waived tests
- 100
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 Sussex I State Prison in Waverly?
49D2039724, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sussex I State Prison hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2039724 expire?
The CMS file lists April 16, 2028 as the certificate expiration date; the certificate took effect April 17, 2026.