CLIA lab
CLIA 39D0200609: Fairmount Primary Care Center
Philadelphia, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0200609 belongs to Fairmount Primary Care Center in Philadelphia, PA.
Certificate for Provider-Performed Microscopy Procedures, effective April 8, 2025, expires April 7, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 8, 2025
- Certificate expiration
- April 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Federally qualified health center
- 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
- 39D0200609
- Lab name
- Fairmount Primary Care Center
- Address
- 1412-22 Fairmount Avenue, Philadelphia, PA 19130
- Phone
- (215) 599-4851
- Fax
- (215) 232-4093
Annual test volume the lab reported
- Waived tests
- 1,000
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 Fairmount Primary Care Center in Philadelphia?
39D0200609, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fairmount Primary Care Center hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 39D0200609 expire?
The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.