CLIA lab
CLIA 39D0924456: Kyong B Park MD PHD
Havertown, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0924456 belongs to Kyong B Park MD PHD in Havertown, PA.
Certificate of Waiver, effective January 30, 2025, expires January 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 30, 2025
- Certificate expiration
- January 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 30, 1997
- 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
- 39D0924456
- Lab name
- Kyong B Park MD PHD
- Address
- 525 W Chester Pike Falcon Cnt Ste 102B, Havertown, PA 19083
- Phone
- (610) 853-9328
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Havertown, PA
- Abundant CareCertificate of Waiver, Home health agency39D2211716
- Afc Urgent Care HavertownCertificate of Waiver, Physician office39D2144436
- Aopm, LLCCertificate of Waiver, Physician office39D2058170
- 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 Kyong B Park MD PHD in Havertown?
39D0924456, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kyong B Park MD PHD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0924456 expire?
The CMS file lists January 29, 2027 as the certificate expiration date; the certificate took effect January 30, 2025.