CLIA lab

CLIA 39D2002622: Life ST Mary

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

CLIA number 39D2002622 belongs to Life ST Mary in Trevose, PA.

Certificate of Waiver, effective January 22, 2026, expires January 21, 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
January 22, 2026
Certificate expiration
January 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 22, 2010
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
39D2002622
Lab name
Life ST Mary
Address
2500 Northgate Road, Trevose, PA 19053
Phone
(267) 991-7620
Fax
(267) 991-7619

Annual test volume the lab reported

Waived tests
1,140

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 Life ST Mary in Trevose?

39D2002622, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Life ST Mary hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2002622 expire?

The CMS file lists January 21, 2028 as the certificate expiration date; the certificate took effect January 22, 2026.

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