CLIA lab
CLIA 39D1002463: Center for Dermatology Laser & Cosmetic Surgery
Philadelphia, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1002463 belongs to Center for Dermatology Laser & Cosmetic Surgery in Philadelphia, PA.
Certificate of Waiver, effective August 7, 2026, expires August 6, 2028.
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
- August 7, 2026
- Certificate expiration
- August 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 7, 2002
- Facility type
- Physician office
- Ownership (control type)
- Unknown
- 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
- 39D1002463
- Lab name
- Center for Dermatology Laser & Cosmetic Surgery
- Address
- 204 Moss Plaza, 9892 Bustleton Avenue, Philadelphia, PA 19115
- Phone
- (215) 676-2464
- Fax
- (215) 676-5536
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Center for Dermatology Laser & Cosmetic Surgery in Philadelphia?
39D1002463, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Center for Dermatology Laser & Cosmetic Surgery hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1002463 expire?
The CMS file lists August 6, 2028 as the certificate expiration date; the certificate took effect August 7, 2026.