CLIA lab
CLIA 39D0903967: Penn State Hershey Medical GRP Middletown
Middletown, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0903967 belongs to Penn State Hershey Medical GRP Middletown in Middletown, PA.
Certificate of Waiver, effective February 27, 2026, expires February 26, 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
- February 27, 2026
- Certificate expiration
- February 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 1995
- Facility type
- Physician office
- Ownership (control type)
- Government, state
- 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
- 39D0903967
- Lab name
- Penn State Hershey Medical GRP Middletown
- Address
- 3100 Schoolhouse Road, Middletown, PA 17057
- Phone
- (717) 948-5180
- Fax
- (717) 948-0488
Annual test volume the lab reported
- Waived tests
- 900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Tmi OhsCertificate of Waiver, Industrial39D0943491
Related
Questions
What is the CLIA number for Penn State Hershey Medical GRP Middletown in Middletown?
39D0903967, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Penn State Hershey Medical GRP Middletown hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0903967 expire?
The CMS file lists February 26, 2028 as the certificate expiration date; the certificate took effect February 27, 2026.