CLIA lab

CLIA 49D2122154: Lifetime Internal Medicine, PLLC

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

CLIA number 49D2122154 belongs to Lifetime Internal Medicine, PLLC in Herndon, VA.

Certificate of Waiver, effective November 21, 2024, expires November 20, 2026.

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 21, 2024
Certificate expiration
November 20, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 21, 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
49D2122154
Lab name
Lifetime Internal Medicine, PLLC
Address
2579 John Milton Drive - Suite 300, Herndon, VA 20171
Phone
(703) 828-0799
Fax
(571) 321-5439

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 Lifetime Internal Medicine, PLLC in Herndon?

49D2122154, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lifetime Internal Medicine, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2122154 expire?

The CMS file lists November 20, 2026 as the certificate expiration date; the certificate took effect November 21, 2024.

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