CLIA lab

CLIA 49D2264419: Healthworks for Northern Virginia Sully

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

CLIA number 49D2264419 belongs to Healthworks for Northern Virginia Sully in Herndon, VA.

Certificate of Waiver, effective July 14, 2026, expires July 13, 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
July 14, 2026
Certificate expiration
July 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 14, 2022
Facility type
Federally qualified health center
Ownership (control type)
Government, federal
Lab classification
CLIA laboratory
Directly affiliated labs
4

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

Lab and contact

CLIA number
49D2264419
Lab name
Healthworks for Northern Virginia Sully
Address
13800 Wall Road, Suite 055, Herndon, VA 20171
Phone
(703) 443-2000
Fax
(703) 771-4120

Annual test volume the lab reported

Waived tests
10,279

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

Affiliated CLIA numbers

Other labs in Herndon, VA

Related

Questions

What is the CLIA number for Healthworks for Northern Virginia Sully in Herndon?

49D2264419, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Healthworks for Northern Virginia Sully hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2264419 expire?

The CMS file lists July 13, 2028 as the certificate expiration date; the certificate took effect July 14, 2026.

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