CLIA lab
CLIA 39D1092721: Premise Health of PA Medical PC
Hanover, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1092721 belongs to Premise Health of PA Medical PC in Hanover, PA.
Certificate of Waiver, effective December 3, 2024, expires December 2, 2026.
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 3, 2024
- Certificate expiration
- December 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 2008
- 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
- 39D1092721
- Lab name
- Premise Health of PA Medical PC
- Address
- 425 Westminister Ave, Hanover, PA 17331
- Phone
- (717) 646-3781
- Fax
- (717) 220-6654
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Columbia Cottage HanoverCertificate of Waiver, Assisted living facility39D2199355
- Dermatology Partners - HanoverCertificate of Compliance, Physician office39D2303427
- Family First Health HanoverCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center39D2318743
- Hanover Area Council of ChurchesCertificate of Waiver, Community clinic39D2053251
- Hanover DialysisCertificate of Waiver, End stage renal disease dialysis facility39D1007460
- Hanover Family Practice AssocCertificate for Provider-Performed Microscopy Procedures, Physician office39D0187367
Related
Questions
What is the CLIA number for Premise Health of PA Medical PC in Hanover?
39D1092721, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of PA Medical PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1092721 expire?
The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.