CLIA lab

CLIA 39D1056301: Penn Med Lghp Obgyn Willow Street

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

CLIA number 39D1056301 belongs to Penn Med Lghp Obgyn Willow Street in Willow Street, PA.

Certificate for Provider-Performed Microscopy Procedures, effective July 12, 2026, expires July 11, 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 12, 2026
Certificate expiration
July 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 12, 2006
Facility type
Physician office
Ownership (control type)
Unknown
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
39D1056301
Lab name
Penn Med Lghp Obgyn Willow Street
Address
222 Willow Valley Lakes Drive, Willow Street, PA 17584
Phone
(717) 397-8177
Fax
(717) 397-2426

Annual test volume the lab reported

Waived tests
1,000

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 Penn Med Lghp Obgyn Willow Street in Willow Street?

39D1056301, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Penn Med Lghp Obgyn Willow Street hold?

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

When does CLIA 39D1056301 expire?

The CMS file lists July 11, 2028 as the certificate expiration date; the certificate took effect July 12, 2026.

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