CLIA lab
CLIA 39D1013958: Main Line Physicians Internal Med & Geriatrics
Audubon, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1013958 belongs to Main Line Physicians Internal Med & Geriatrics in Audubon, PA.
Certificate of Waiver, effective June 23, 2025, expires June 22, 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
- June 23, 2025
- Certificate expiration
- June 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 2003
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 39D1013958
- Lab name
- Main Line Physicians Internal Med & Geriatrics
- Address
- 10000 Shannondell Drive, Audubon, PA 19403
- Phone
- (610) 728-5241
- Fax
- (610) 728-5322
Annual test volume the lab reported
- Waived tests
- 200
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 Main Line Physicians Internal Med & Geriatrics in Audubon?
39D1013958, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Main Line Physicians Internal Med & Geriatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1013958 expire?
The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.