CLIA lab
CLIA 39D1014581: Helene M Koch DO
Bala Cynwyd, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1014581 belongs to Helene M Koch DO in Bala Cynwyd, PA.
Certificate for Provider-Performed Microscopy Procedures, effective July 29, 2025, expires July 28, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- July 29, 2025
- Certificate expiration
- July 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 10, 2003
- 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
- 39D1014581
- Lab name
- Helene M Koch DO
- Address
- 25 Bala Avenue Suite 205, Bala Cynwyd, PA 19004
- Phone
- (610) 667-6363
- Fax
- (610) 667-5155
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 1,000
- Total
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Acme Pharmacy #3711Certificate of Waiver, Pharmacy39D2063830
- Ambulatory Surgery Center of Bala CynwydCertificate of Waiver, Ambulatory surgery center39D2247208
- Amudipes Behavioral Health/EhomecareCertificate of Waiver, Home health agency39D2106381
- Bala ASC, LLCCertificate of Waiver, Ambulatory surgery center39D2298839
- Bala Cynwyd Medical AssociatesCertificate of Waiver, Independent39D0194801
- BaladermatologyCertificate of Compliance, Physician office39D2223877
- Center City Pediatrics Bala BranchCertificate of Waiver, Physician office39D2091852
- ChemsysCertificate of Waiver, Other39D2309852
Related
Questions
What is the CLIA number for Helene M Koch DO in Bala Cynwyd?
39D1014581, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Helene M Koch DO hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 39D1014581 expire?
The CMS file lists July 28, 2027 as the certificate expiration date; the certificate took effect July 29, 2025.