CLIA lab

CLIA 49D2061084: Mount Vernon Medical Associates, PC

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

CLIA number 49D2061084 belongs to Mount Vernon Medical Associates, PC in Springfield, VA.

Certificate of Waiver, effective August 31, 2025, expires August 30, 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 31, 2025
Certificate expiration
August 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 21, 2013
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
4

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

Lab and contact

CLIA number
49D2061084
Lab name
Mount Vernon Medical Associates, PC
Address
6128 Brandon Avenue - Suite 201, Springfield, VA 22150
Phone
(703) 780-2800
Fax
(703) 780-0461

Annual test volume the lab reported

Waived tests
4,814

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

Affiliated CLIA numbers

Other labs in Springfield, VA

Related

Questions

What is the CLIA number for Mount Vernon Medical Associates, PC in Springfield?

49D2061084, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mount Vernon Medical Associates, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2061084 expire?

The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.

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