CLIA lab

CLIA 39D0719495: Excela Square Frick Family Medicine

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

CLIA number 39D0719495 belongs to Excela Square Frick Family Medicine in Mount Pleasant, PA.

Certificate of Waiver, effective January 12, 2026, expires January 11, 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
January 12, 2026
Certificate expiration
January 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 31, 1992
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
39D0719495
Lab name
Excela Square Frick Family Medicine
Address
508 South Church Street, Suite 100, Mount Pleasant, PA 15666
Phone
(724) 547-4536
Fax
(724) 547-3799

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.

Affiliated CLIA numbers

Other labs in Mount Pleasant, PA

Related

Questions

What is the CLIA number for Excela Square Frick Family Medicine in Mount Pleasant?

39D0719495, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Excela Square Frick Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D0719495 expire?

The CMS file lists January 11, 2028 as the certificate expiration date; the certificate took effect January 12, 2026.

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