CLIA lab
CLIA 39D1064830: Hillside Internal Medicine
Hanover, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1064830 belongs to Hillside Internal Medicine in Hanover, PA.
Certificate of Waiver, effective February 14, 2025, expires February 13, 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
- February 14, 2025
- Certificate expiration
- February 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 14, 2007
- 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
- 39D1064830
- Lab name
- Hillside Internal Medicine
- Address
- 250 Fame Avenue, Suite 135, Hanover, PA 17331
- Phone
- (717) 632-1234
- Fax
- (717) 632-7292
Annual test volume the lab reported
- Waived tests
- 1,200
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 Hillside Internal Medicine in Hanover?
39D1064830, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hillside Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1064830 expire?
The CMS file lists February 13, 2027 as the certificate expiration date; the certificate took effect February 14, 2025.