CLIA lab
CLIA 39D0910172: Indian Creek Foundation
Souderton, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0910172 belongs to Indian Creek Foundation in Souderton, PA.
Certificate of Waiver, effective September 30, 2025, expires September 29, 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
- September 30, 2025
- Certificate expiration
- September 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 1995
- Facility type
- Home health agency
- 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
- 39D0910172
- Lab name
- Indian Creek Foundation
- Address
- 420 Cowpath Road, Souderton, PA 18964
- Phone
- (267) 203-1500
- Fax
- (267) 203-1510
Annual test volume the lab reported
- Waived tests
- 5,840
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Chop Primary Care - SoudertonCertificate of Waiver, Physician office39D0194227
- Cvs/Pharmacy #02479Certificate of Waiver, Pharmacy39D2222855
- GVH Direct Primary CareCertificate of Waiver, Physician office39D2315811
- ST Luke's Phys GRP Prim Care SoudertonCertificate of Waiver, Physician office39D0935323
- Souderton Mennonite Homes Personal CareCertificate of Waiver, Assisted living facility39D2207685
- Tri Valley Primary Indian Valley OffCertificate for Provider-Performed Microscopy Procedures, Physician office39D0934388
Related
Questions
What is the CLIA number for Indian Creek Foundation in Souderton?
39D0910172, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Indian Creek Foundation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0910172 expire?
The CMS file lists September 29, 2027 as the certificate expiration date; the certificate took effect September 30, 2025.