CLIA lab
CLIA 49D2052709: Inova Primary Care Lake Ridge
Woodbridge, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2052709 belongs to Inova Primary Care Lake Ridge in Woodbridge, VA.
Certificate of Waiver, effective November 25, 2025, expires November 24, 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
- November 25, 2025
- Certificate expiration
- November 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 16, 2013
- 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
- 49D2052709
- Lab name
- Inova Primary Care Lake Ridge
- Address
- 12480 Dillingham Square, Woodbridge, VA 22193
- Phone
- (703) 494-6111
- Fax
- (703) 497-0476
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.
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Related
Questions
What is the CLIA number for Inova Primary Care Lake Ridge in Woodbridge?
49D2052709, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Inova Primary Care Lake Ridge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2052709 expire?
The CMS file lists November 24, 2027 as the certificate expiration date; the certificate took effect November 25, 2025.