CLIA lab
CLIA 49D2346577: Holly Manor Al/Il Operations LLC
Farmville, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2346577 belongs to Holly Manor Al/Il Operations LLC in Farmville, VA.
Certificate of Waiver, effective July 2, 2026, expires July 1, 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 2, 2026
- Certificate expiration
- July 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 2, 2026
- Facility type
- Assisted living 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
- 49D2346577
- Lab name
- Holly Manor Al/Il Operations LLC
- Address
- 2005 Cobb St, Farmville, VA 23901
- Phone
- (434) 392-6106
Annual test volume the lab reported
- Waived tests
- 450
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 Holly Manor Al/Il Operations LLC in Farmville?
49D2346577, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Holly Manor Al/Il Operations LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2346577 expire?
The CMS file lists July 1, 2028 as the certificate expiration date; the certificate took effect July 2, 2026.