CLIA lab

CLIA 39D1104258: PGH Home Modality Cen of Excellence

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

CLIA number 39D1104258 belongs to PGH Home Modality Cen of Excellence in Pittsburgh, PA.

Certificate of Waiver, effective August 28, 2025, expires August 27, 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
August 28, 2025
Certificate expiration
August 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 28, 2009
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
39D1104258
Lab name
PGH Home Modality Cen of Excellence
Address
5171 Liberty Avenue, Suite A, Pittsburgh, PA 15224
Phone
(412) 605-0415
Fax
(412) 605-0853

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 PGH Home Modality Cen of Excellence in Pittsburgh?

39D1104258, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does PGH Home Modality Cen of Excellence hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D1104258 expire?

The CMS file lists August 27, 2027 as the certificate expiration date; the certificate took effect August 28, 2025.

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