CLIA lab
CLIA 39D0187804: Wellspan Pediatric Med George ST
Red Lion, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0187804 belongs to Wellspan Pediatric Med George ST in Red Lion, PA.
Certificate of Waiver, effective May 19, 2026, expires May 18, 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
- May 19, 2026
- Certificate expiration
- May 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- 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
- 39D0187804
- Lab name
- Wellspan Pediatric Med George ST
- Address
- 3065 Windsor Road, Red Lion, PA 17356
- Phone
- (717) 812-3040
- Fax
- (717) 812-3028
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Jeffrey A Frey MDCertificate of Waiver, Physician office39D0187456
- Keystone Lab Services LLCCertificate of Registration, Other39D2321988
- Red Lion Area Ambulance AssocCertificate of Waiver, Ambulance39D2134675
- Sans Pareil Eyecare LLP DBA York Eye AssociatesCertificate of Waiver, Physician office39D2227331
- UPMC Pinnacle Memorial Windsor CommonsCertificate of Waiver, Physician office39D2021170
- Wellspan Family Medicine-Cape HornCertificate of Waiver, Physician office39D0683110
- Wellspan Internal Med - Red LionCertificate of Waiver, Physician office39D0187460
Related
Questions
What is the CLIA number for Wellspan Pediatric Med George ST in Red Lion?
39D0187804, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellspan Pediatric Med George ST hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0187804 expire?
The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.