CLIA lab

CLIA 39D0896604: Bushkill Family Practice

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

CLIA number 39D0896604 belongs to Bushkill Family Practice in Wind Gap, PA.

Certificate of Waiver, effective January 13, 2025, expires January 12, 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
January 13, 2025
Certificate expiration
January 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 13, 1995
Facility type
Physician office
Ownership (control type)
Proprietary
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
39D0896604
Lab name
Bushkill Family Practice
Address
487 Moorestown Rd Suite 110, Wind Gap, PA 18091
Phone
(484) 503-2055
Fax
(866) 833-9399

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Bushkill Family Practice in Wind Gap?

39D0896604, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bushkill Family Practice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D0896604 expire?

The CMS file lists January 12, 2027 as the certificate expiration date; the certificate took effect January 13, 2025.

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