CLIA lab
CLIA 39D1048135: Wellspan Family Medicine Frederick ST
Hanover, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1048135 belongs to Wellspan Family Medicine Frederick ST in Hanover, PA.
Certificate of Waiver, effective June 21, 2026, expires June 20, 2028.
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 21, 2026
- Certificate expiration
- June 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 22, 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
- 39D1048135
- Lab name
- Wellspan Family Medicine Frederick ST
- Address
- 100 Frederick Street, Suite 101, Hanover, PA 17331
- Phone
- (717) 632-7474
- Fax
- (717) 632-7478
Annual test volume the lab reported
- Waived tests
- 1,050
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 Family Medicine Frederick ST in Hanover?
39D1048135, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellspan Family Medicine Frederick ST hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1048135 expire?
The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.