CLIA lab

CLIA 39D0188058: Wellspan Family Medicine W Main Street

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

CLIA number 39D0188058 belongs to Wellspan Family Medicine W Main Street in Ephrata, PA.

Certificate of Waiver, effective April 2, 2025, expires April 1, 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
April 2, 2025
Certificate expiration
April 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 1993
Facility type
Physician office
Ownership (control type)
Other
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
39D0188058
Lab name
Wellspan Family Medicine W Main Street
Address
1635 W Main Street, Ephrata, PA 17522
Phone
(717) 738-2468
Fax
(717) 715-1416

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.

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Related

Questions

What is the CLIA number for Wellspan Family Medicine W Main Street in Ephrata?

39D0188058, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellspan Family Medicine W Main Street hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D0188058 expire?

The CMS file lists April 1, 2027 as the certificate expiration date; the certificate took effect April 2, 2025.

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