CLIA lab
CLIA 49D2125714: Kinder Life Pediatrics
Centreville, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2125714 belongs to Kinder Life Pediatrics in Centreville, VA.
Certificate of Waiver, effective February 13, 2025, expires February 12, 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
- February 13, 2025
- Certificate expiration
- February 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 2017
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 49D2125714
- Lab name
- Kinder Life Pediatrics
- Address
- 14631 Lee Hwy, Suite 413, Centreville, VA 20121
- Phone
- (703) 766-1716
- Fax
- (703) 991-6166
Annual test volume the lab reported
- Waived tests
- 1,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Centreville Eye Care CenterCertificate of Waiver, Physician office49D2052712
- Centreville Medical PracticeCertificate of Waiver, Physician office49D0221688
- Centreville Mri CenterCertificate of Waiver, Other49D2271662
- Fairfax Oral and Maxillofacial SurgeryCertificate of Waiver, Other49D1101653
- Fairfax Pediatric AssociatesCertificate of Waiver, Physician office49D2126311
- Family Medicine Clifton/ CentrevilleCertificate for Provider-Performed Microscopy Procedures, Physician office49D0221701
- Giant Pharmacy #740Certificate of Waiver, Pharmacy49D2187237
- Giant Pharmacy #788Certificate of Waiver, Pharmacy49D2187276
Related
Questions
What is the CLIA number for Kinder Life Pediatrics in Centreville?
49D2125714, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kinder Life Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2125714 expire?
The CMS file lists February 12, 2027 as the certificate expiration date; the certificate took effect February 13, 2025.