CLIA lab
CLIA 39D1052512: Independence Hlth System Derry
Latrobe, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1052512 belongs to Independence Hlth System Derry in Latrobe, 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
- March 28, 2006
- 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
- 39D1052512
- Lab name
- Independence Hlth System Derry
- Address
- 555 Route 217 Suite #1, Latrobe, PA 15650
- Phone
- (724) 694-2723
- Fax
- (724) 694-8830
Annual test volume the lab reported
- Waived tests
- 5,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Latrobe, PA
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- Brookdale LatrobeCertificate of Waiver, Assisted living facility39D2215176
- Diagnostic AssociatesCertificate of Waiver, Physician office39D1073527
- Excela Health Latrobe HospitalCertificate of Accreditation, Hospital39D0180787
- Excela Health Ob/Gyn/GynoCertificate for Provider-Performed Microscopy Procedures, Physician office39D0679578
- Excela Square Latrobe Family MedicineCertificate of Waiver, Physician office39D0180786
- Excela Square Latrobe PCCertificate of Waiver, Physician office39D2142694
- Excela Square at LatrobeCertificate of Waiver, Independent39D2142571
- Fresenius Medical Care LatrobeCertificate of Waiver, End stage renal disease dialysis facility39D0657111
- Gu IncCertificate for Provider-Performed Microscopy Procedures, Physician office39D0181092
Related
Questions
What is the CLIA number for Independence Hlth System Derry in Latrobe?
39D1052512, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Independence Hlth System Derry hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1052512 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.