CLIA lab

CLIA 39D1035587: Wellspan FM Baltimore Street

Hanover, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 39D1035587 belongs to Wellspan FM Baltimore Street in Hanover, PA.

Certificate of Waiver, effective June 1, 2025, expires May 31, 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 1, 2025
Certificate expiration
May 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 2005
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
39D1035587
Lab name
Wellspan FM Baltimore Street
Address
1227 Baltimore Street, Hanover, PA 17331
Phone
(717) 851-7481
Fax
(717) 637-2245

Annual test volume the lab reported

Waived tests
2,500

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 Wellspan FM Baltimore Street in Hanover?

39D1035587, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellspan FM Baltimore Street hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D1035587 expire?

The CMS file lists May 31, 2027 as the certificate expiration date; the certificate took effect June 1, 2025.

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