CLIA lab
CLIA 39D1077156: Minuteclinic Diagnostic of PA LLC
Paoli, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1077156 belongs to Minuteclinic Diagnostic of PA LLC in Paoli, PA.
Certificate of Waiver, effective December 4, 2025, expires December 3, 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
- December 4, 2025
- Certificate expiration
- December 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 2007
- Facility type
- Other
- 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
- 39D1077156
- Lab name
- Minuteclinic Diagnostic of PA LLC
- Address
- 1776 East Lancaster Avenue, Paoli, PA 19301
- Phone
- (866) 389-2727
- Fax
- (612) 659-7101
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Chop Primary Care - PaoliCertificate of Waiver, Physician office39D0921525
- Consolidated RXCertificate of Waiver, Pharmacy39D2238867
- Great Valley Medical AssociatesCertificate of Waiver, Physician office39D0202770
- James R Bollinger MdpcCertificate for Provider-Performed Microscopy Procedures, Physician office39D0202741
- Main Line Hospitals Lab - PaoliCertificate of Accreditation, Hospital39D0202826
- Main Line Internal Medicine LLCCertificate for Provider-Performed Microscopy Procedures, Physician office39D0978956
- Midlantic Lab - PaoliCertificate for Provider-Performed Microscopy Procedures, Physician office39D2041706
Related
Questions
What is the CLIA number for Minuteclinic Diagnostic of PA LLC in Paoli?
39D1077156, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Minuteclinic Diagnostic of PA LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1077156 expire?
The CMS file lists December 3, 2027 as the certificate expiration date; the certificate took effect December 4, 2025.