CLIA lab
CLIA 39D1104422: WFM - Chanceford
Brogue, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1104422 belongs to WFM - Chanceford in Brogue, PA.
Certificate of Waiver, effective April 24, 2026, expires April 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 24, 2026
- Certificate expiration
- April 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 3, 2009
- Facility type
- Physician office
- 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
- 39D1104422
- Lab name
- WFM - Chanceford
- Address
- 10 Muddy Creek Forks Road, Suite 3, Brogue, PA 17309
- Phone
- (717) 851-5020
- Fax
- (717) 927-8542
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Brogue, PA
Related
Questions
What is the CLIA number for WFM - Chanceford in Brogue?
39D1104422, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does WFM - Chanceford hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1104422 expire?
The CMS file lists April 23, 2028 as the certificate expiration date; the certificate took effect April 24, 2026.