CLIA lab
CLIA 39D0990164: Wellspan Family Med in Selinsgrove
Selinsgrove, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0990164 belongs to Wellspan Family Med in Selinsgrove in Selinsgrove, PA.
Certificate of Waiver, effective March 22, 2025, expires March 21, 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
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 16, 2001
- 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
- 39D0990164
- Lab name
- Wellspan Family Med in Selinsgrove
- Address
- 935 Route 522, Selinsgrove, PA 17870
- Phone
- (570) 522-2990
- Fax
- (570) 768-3911
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.
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- Bayada Home Health Care IncCertificate of Waiver, Home health agency39D2028775
- Brookdale Grayson ViewCertificate of Waiver, Assisted living facility39D2216552
- DH&L Ambulance LeagueCertificate of Waiver, Ambulance39D2002667
- EmtscorpCertificate of Waiver, Ambulance39D2140200
- Family Practice CTR SelinsgroveCertificate of Waiver, Physician office39D0890225
- Family Practice Center Diagnostic CntrCertificate of Accreditation, Independent39D0657424
- Family Practice Center SVMCertificate of Waiver, Physician office39D2221807
- Family Practice Center Selinsgrove/2Certificate of Waiver, Physician office39D2083680
- Family Recovery, LLCCertificate of Waiver, Physician office39D2167164
- Geisinger Selinsgrove MSCCertificate for Provider-Performed Microscopy Procedures, Physician office39D2085025
Related
Questions
What is the CLIA number for Wellspan Family Med in Selinsgrove in Selinsgrove?
39D0990164, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellspan Family Med in Selinsgrove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0990164 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.