CLIA lab
CLIA 39D0930835: Providence Pediatric Practice, LLC
Media, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0930835 belongs to Providence Pediatric Practice, LLC in Media, PA.
Certificate of Waiver, effective July 18, 2025, expires July 17, 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
- July 18, 2025
- Certificate expiration
- July 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 18, 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
- 39D0930835
- Lab name
- Providence Pediatric Practice, LLC
- Address
- 100 Granite Drive,suite 200, Media, PA 19063
- Phone
- (610) 892-8957
- Fax
- (610) 892-7848
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Media, PA
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- Acme Pharmacy #2876Certificate of Waiver, Pharmacy39D2025939
- Aesthetic Dermatology Associates PCCertificate of Compliance, Physician office39D0885383
- Alliance Cancer Spec - Hem OncCertificate of Compliance, Physician office39D0674305
- Arthur K Balin MD PHD PC LabCertificate of Compliance, Physician office39D0195312
- Bayada Home Health Care IncCertificate of Waiver, Home health agency39D2006430
- Bell & Conrad, P ACertificate of Waiver, Physician office39D0724590
- CCH of Gwynedd, IncCertificate of Waiver, Hospice39D2059839
- Chop Primary Care -- MediaCertificate of Waiver, Physician office39D0945350
- Clark's ManorCertificate of Waiver, Other39D2325012
Related
Questions
What is the CLIA number for Providence Pediatric Practice, LLC in Media?
39D0930835, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Pediatric Practice, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0930835 expire?
The CMS file lists July 17, 2027 as the certificate expiration date; the certificate took effect July 18, 2025.