CLIA lab

CLIA 49D2279074: ST Marys Heatlh Wagon Clintwood

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

CLIA number 49D2279074 belongs to ST Marys Heatlh Wagon Clintwood in Clintwood, VA.

Certificate of Waiver, effective March 29, 2025, expires March 28, 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
March 29, 2025
Certificate expiration
March 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 29, 2023
Facility type
Physician office
Ownership (control type)
Private
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
49D2279074
Lab name
ST Marys Heatlh Wagon Clintwood
Address
927 Happy Valley Drive, Clintwood, VA 24228
Phone
(276) 926-2254
Fax
(276) 926-2257

Annual test volume the lab reported

Waived tests
1,150

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 ST Marys Heatlh Wagon Clintwood in Clintwood?

49D2279074, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Marys Heatlh Wagon Clintwood hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 49D2279074 expire?

The CMS file lists March 28, 2027 as the certificate expiration date; the certificate took effect March 29, 2025.

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