CLIA lab

CLIA 49D2079324: Gloucester Mobile CT

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

CLIA number 49D2079324 belongs to Gloucester Mobile CT in Gloucester, VA.

Certificate of Waiver, effective June 13, 2026, expires June 12, 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
June 13, 2026
Certificate expiration
June 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 13, 2014
Facility type
Mobile lab
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
49D2079324
Lab name
Gloucester Mobile CT
Address
5659 Parkway Drive -Suite 130, Gloucester, VA 23061
Phone
(804) 210-1090
Fax
(804) 210-1007

Annual test volume the lab reported

Waived tests
260

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

Affiliated CLIA numbers

Other labs in Gloucester, VA

Related

Questions

What is the CLIA number for Gloucester Mobile CT in Gloucester?

49D2079324, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gloucester Mobile CT hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2079324 expire?

The CMS file lists June 12, 2028 as the certificate expiration date; the certificate took effect June 13, 2026.

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