CLIA lab
CLIA 49D2115055: Fork Union Famiy Medicine
Palmyra, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2115055 belongs to Fork Union Famiy Medicine in Palmyra, VA.
Certificate of Waiver, effective June 27, 2026, expires June 26, 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 27, 2026
- Certificate expiration
- June 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 27, 2016
- 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
- 49D2115055
- Lab name
- Fork Union Famiy Medicine
- Address
- 138 Heritage Dr Ste A, Palmyra, VA 22963
- Phone
- (434) 591-5056
- Fax
- (434) 591-5057
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Minuteclinic Diagnostic of Virginia LLCCertificate of Waiver, Other49D2230532
- Minuteclinic Primary Care-Virginia,pllc #28546Certificate of Waiver, Other49D2324620
- Sentara Palmyra Medical AssociatesCertificate of Waiver, Mobile lab49D0685394
Related
Questions
What is the CLIA number for Fork Union Famiy Medicine in Palmyra?
49D2115055, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fork Union Famiy Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2115055 expire?
The CMS file lists June 26, 2028 as the certificate expiration date; the certificate took effect June 27, 2026.