CLIA lab
CLIA 39D0924285: Wellspan Pediatric Med at North 4th ST
Lebanon, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0924285 belongs to Wellspan Pediatric Med at North 4th ST in Lebanon, PA.
Certificate for Provider-Performed Microscopy Procedures, effective March 20, 2025, expires March 19, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 20, 2025
- Certificate expiration
- March 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 27, 1997
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 39D0924285
- Lab name
- Wellspan Pediatric Med at North 4th ST
- Address
- 30 N 4th St, 2nd Fl, Lebanon, PA 17046
- Phone
- (717) 279-6700
- Fax
- (717) 279-6759
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lebanon, PA
- Albright Life LebanonCertificate of Waiver, Other39D2032860
- Align Pregnancy Services - LebanonCertificate of Waiver, Community clinic39D2309715
- Allcare Family Health PCCertificate of Waiver, Physician office39D1029079
- Alpine Valley Post Acute and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility39D0186028
- Brewer Family WellnessCertificate of Waiver, Physician office39D2269776
- Careatc WalnutCertificate of Waiver, Physician office39D2164650
- Centers for Advanced Urology, LLP, theCertificate for Provider-Performed Microscopy Procedures, Physician office39D1017641
- Cornerstoen DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office39D1008516
- Cvs/Pharmacy #01631Certificate of Waiver, Pharmacy39D2259109
- Dermatology Associates of LebanonCertificate of Compliance, Physician office39D0185974
Related
Questions
What is the CLIA number for Wellspan Pediatric Med at North 4th ST in Lebanon?
39D0924285, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellspan Pediatric Med at North 4th ST hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 39D0924285 expire?
The CMS file lists March 19, 2027 as the certificate expiration date; the certificate took effect March 20, 2025.