CLIA lab
CLIA 39D1087004: Main Line Healthcare Conshohocken
Conshohocken, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1087004 belongs to Main Line Healthcare Conshohocken in Conshohocken, PA.
Certificate of Waiver, effective July 24, 2026, expires July 23, 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 of Waiver
- Certificate effective
- July 24, 2026
- Certificate expiration
- July 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 24, 2008
- 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
- 39D1087004
- Lab name
- Main Line Healthcare Conshohocken
- Address
- 1100 Hector St, Suite 105, Conshohocken, PA 19428
- Phone
- (610) 828-2608
- Fax
- (610) 828-0102
Annual test volume the lab reported
- Waived tests
- 500
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 Main Line Healthcare Conshohocken in Conshohocken?
39D1087004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Main Line Healthcare Conshohocken hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1087004 expire?
The CMS file lists July 23, 2028 as the certificate expiration date; the certificate took effect July 24, 2026.