CLIA lab

CLIA 39D1084512: Dba-Brooke Glen Behavioral Hospital

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

CLIA number 39D1084512 belongs to Dba-Brooke Glen Behavioral Hospital in Fort Washington, PA.

Certificate of Waiver, effective May 27, 2026, expires May 26, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 27, 2026
Certificate expiration
May 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 27, 2008
Facility type
Hospital
Ownership (control type)
Private
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
39D1084512
Lab name
Dba-Brooke Glen Behavioral Hospital
Address
7170 Lafayette Avenue, Fort Washington, PA 19034
Phone
(215) 641-5300
Fax
(215) 641-5401

Annual test volume the lab reported

Waived tests
8,125

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Fort Washington, PA

Related

Questions

What is the CLIA number for Dba-Brooke Glen Behavioral Hospital in Fort Washington?

39D1084512, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dba-Brooke Glen Behavioral Hospital hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D1084512 expire?

The CMS file lists May 26, 2028 as the certificate expiration date; the certificate took effect May 27, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.