CLIA lab
CLIA 49D2170164: Puddledock Dialysis
Prince George, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2170164 belongs to Puddledock Dialysis in Prince George, VA.
Certificate of Waiver, effective August 5, 2025, expires August 4, 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
- August 5, 2025
- Certificate expiration
- August 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 5, 2019
- Facility type
- End stage renal disease dialysis facility
- 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
- 49D2170164
- Lab name
- Puddledock Dialysis
- Address
- 4650 Puddledock Rd, Prince George, VA 23875
- Phone
- (804) 957-5910
- Fax
- (804) 957-5916
Annual test volume the lab reported
- Waived tests
- 5,304
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Puddledock DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Prince George, VA
- Brightview, Llc-Prince George OfficeCertificate of Waiver, Physician office49D2279625
- Careteam Health DBA SCMCertificate of Waiver, Other49D2256704
- Cvhs Hopewell Prince GeorgeCertificate for Provider-Performed Microscopy Procedures, Rural health clinic49D0978079
- Laboratory Corporation of AmericaCertificate of Compliance, Physician office49D2023996
- Northern Virginia Carenow Urgent Care LLCCertificate of Waiver, Other49D2067984
- Perdue Farms Prince George Wellness CenterCertificate of Waiver, Physician office49D1102058
- Prime Care Family PracticeCertificate of Waiver, Physician office49D2096506
- Prince George County Public ShcoolsCertificate of Waiver, School or student health service49D2053692
- Prince George Emergency RoomCertificate of Accreditation, Other49D2128704
- Prince George Emergency RoomCertificate of Waiver, Other49D2129878
Related
Questions
What is the CLIA number for Puddledock Dialysis in Prince George?
49D2170164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Puddledock Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2170164 expire?
The CMS file lists August 4, 2027 as the certificate expiration date; the certificate took effect August 5, 2025.