CLIA lab
CLIA 39D2022022: Premise Health of PA Medical, PC
Malvern, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2022022 belongs to Premise Health of PA Medical, PC in Malvern, PA.
Certificate of Waiver, effective March 25, 2025, expires March 24, 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
- March 25, 2025
- Certificate expiration
- March 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 25, 2011
- Facility type
- Industrial
- 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
- 39D2022022
- Lab name
- Premise Health of PA Medical, PC
- Address
- 1100 Brennan Blvd, Malvern, PA 19355
- Phone
- (610) 669-9355
- Fax
- (610) 673-8409
Annual test volume the lab reported
- Waived tests
- 585
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Childrens Surgery Center of Malvern, LLCCertificate of Waiver, Ambulatory surgery center39D2036031
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Related
Questions
What is the CLIA number for Premise Health of PA Medical, PC in Malvern?
39D2022022, 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 39D2022022 expire?
The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.