CLIA lab
CLIA 39D0892790: Penn Primary Care West Chester Pike
Havertown, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0892790 belongs to Penn Primary Care West Chester Pike in Havertown, PA.
Certificate of Waiver, effective October 6, 2026, expires October 5, 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
- October 6, 2026
- Certificate expiration
- October 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 1994
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D0892790
- Lab name
- Penn Primary Care West Chester Pike
- Address
- 301 West Chester Pike, Suite 201, Havertown, PA 19083
- Phone
- (610) 853-2900
- Fax
- (610) 853-2980
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- Asap of Havertown, LLCCertificate of Waiver, Ambulatory surgery center39D2334726
- Christiana Care Havertown ASC LLCCertificate of Waiver, Ambulatory surgery center39D2327525
- Divine Serenity Home Health LLCCertificate of Waiver, Home health agency39D2306995
- Everest Medical Care LLCCertificate of Waiver, Physician office39D2120622
- Gerard A Miller MDCertificate of Waiver, Physician office39D1036326
- Giant Pharmacy #6442Certificate of Waiver, Pharmacy39D2292245
- Kindred Hospital Philadelphia- HavertownCertificate of Accreditation, Hospital39D1067269
Related
Questions
What is the CLIA number for Penn Primary Care West Chester Pike in Havertown?
39D0892790, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penn Primary Care West Chester Pike hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0892790 expire?
The CMS file lists October 5, 2028 as the certificate expiration date; the certificate took effect October 6, 2026.