CLIA lab

CLIA 39D1041704: Upp-Adolescent Medicine

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

CLIA number 39D1041704 belongs to Upp-Adolescent Medicine in Pittsburgh, PA.

Certificate for Provider-Performed Microscopy Procedures, effective June 10, 2025, expires June 9, 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
June 10, 2025
Certificate expiration
June 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 10, 2005
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
39D1041704
Lab name
Upp-Adolescent Medicine
Address
120 Lytton Ave, Mezzanine Level, Suite M060, Pittsburgh, PA 15213
Phone
(412) 692-6677
Fax
(412) 692-8584

Annual test volume the lab reported

Waived tests
100

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 Upp-Adolescent Medicine in Pittsburgh?

39D1041704, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Upp-Adolescent Medicine hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 39D1041704 expire?

The CMS file lists June 9, 2027 as the certificate expiration date; the certificate took effect June 10, 2025.

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