CLIA lab

CLIA 39D1071717: Upp Adolescent Med Pine

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

CLIA number 39D1071717 belongs to Upp Adolescent Med Pine in Wexford, PA.

Certificate for Provider-Performed Microscopy Procedures, effective July 31, 2025, expires July 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 for Provider-Performed Microscopy Procedures
Certificate effective
July 31, 2025
Certificate expiration
July 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 31, 2007
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
39D1071717
Lab name
Upp Adolescent Med Pine
Address
11279 Perry Highway Suite 202, Wexford, PA 15090
Phone
(412) 692-6677
Fax
(412) 692-5145

Annual test volume the lab reported

Waived tests
1,300

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 Med Pine in Wexford?

39D1071717, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Upp Adolescent Med Pine hold?

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

When does CLIA 39D1071717 expire?

The CMS file lists July 30, 2027 as the certificate expiration date; the certificate took effect July 31, 2025.

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