CLIA lab
CLIA 39D0976704: Paul M Izes DO
Southampton, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0976704 belongs to Paul M Izes DO in Southampton, PA.
Certificate of Waiver, effective August 11, 2024, expiration date August 10, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- August 11, 2024
- Certificate expiration
- August 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 11, 2000
- 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
- 39D0976704
- Lab name
- Paul M Izes DO
- Address
- 720 Second Street Pike Suite 105, Southampton, PA 18966
- Phone
- (215) 322-5575
- Fax
- (215) 322-6806
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Broad ST Professional Med Services LLCCertificate of Waiver, Physician office39D2198510
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- Keith Sadel MD Int Med LLCCertificate of Waiver, Physician office39D1098616
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Related
Questions
What is the CLIA number for Paul M Izes DO in Southampton?
39D0976704, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paul M Izes DO hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0976704 expire?
The CMS file lists August 10, 2026 as the certificate expiration date; the certificate took effect August 11, 2024.