CLIA lab
CLIA 39D1017649: Kole Plastic Surgery Center
Southampton, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1017649 belongs to Kole Plastic Surgery Center in Southampton, PA.
Certificate of Waiver, effective October 1, 2025, expires September 30, 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
- October 1, 2025
- Certificate expiration
- September 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 1, 2003
- Facility type
- Ambulatory surgery center
- 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
- 39D1017649
- Lab name
- Kole Plastic Surgery Center
- Address
- 1122 Street Rd, Suite 100, Southampton, PA 18966
- Phone
- (215) 354-1010
- Fax
- (215) 354-1099
Annual test volume the lab reported
- Waived tests
- 5
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
- Myeyedr Optometry of PA, LLCCertificate of Waiver, Physician office39D2347127
- Obt at Southampton EstatesCertificate of Waiver, Assisted living facility39D2343612
- PC Serv at Southampton EstatesCertificate of Waiver, Physician office39D2098001
- Paul M Izes DOCertificate of Waiver, Physician office39D0976704
Related
Questions
What is the CLIA number for Kole Plastic Surgery Center in Southampton?
39D1017649, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kole Plastic Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1017649 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.