CLIA lab
CLIA 49D2101764: Bon Secours Family Medicine South Chesterfield
Petersburg, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2101764 belongs to Bon Secours Family Medicine South Chesterfield in Petersburg, VA.
Certificate of Waiver, effective November 6, 2025, expires November 5, 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 6, 2025
- Certificate expiration
- November 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 9, 2015
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 49D2101764
- Lab name
- Bon Secours Family Medicine South Chesterfield
- Address
- 20901 Chesterfield Avenue, Petersburg, VA 23803
- Phone
- (804) 526-3500
- Fax
- (804) 526-4222
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Central State HospitalCertificate of Waiver, Hospital49D0230730
- Charles City Medical GroupCertificate of Waiver, Physician office49D0988483
- Clinical Research Partners, LLCCertificate of Waiver, Other49D2053684
- Crater Community HospiceCertificate of Waiver, Hospice49D2214337
- Crater Health DistrictCertificate for Provider-Performed Microscopy Procedures, Other49D0230759
Related
Questions
What is the CLIA number for Bon Secours Family Medicine South Chesterfield in Petersburg?
49D2101764, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bon Secours Family Medicine South Chesterfield hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2101764 expire?
The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.