CLIA lab

CLIA 49D2172189: PM Pediatrics of Virginia/Fairfax

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

CLIA number 49D2172189 belongs to PM Pediatrics of Virginia/Fairfax in Fairfax, VA.

Certificate of Waiver, effective September 17, 2025, expires September 16, 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
September 17, 2025
Certificate expiration
September 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 17, 2019
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
49D2172189
Lab name
PM Pediatrics of Virginia/Fairfax
Address
11056 Route 29, Kamp Washington Shopping Center, Fairfax, VA 22030
Phone
(703) 552-5437
Fax
(703) 552-5436

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Fairfax, VA

Related

Questions

What is the CLIA number for PM Pediatrics of Virginia/Fairfax in Fairfax?

49D2172189, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does PM Pediatrics of Virginia/Fairfax hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2172189 expire?

The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.

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