CLIA lab
CLIA 39D2091464: Family Medicine Willow Street
Willow Street, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2091464 belongs to Family Medicine Willow Street in Willow Street, PA.
Certificate of Waiver, effective March 26, 2025, expires March 25, 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 26, 2025
- Certificate expiration
- March 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 2015
- 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
- 39D2091464
- Lab name
- Family Medicine Willow Street
- Address
- 222 Willow Valley Lakes Dr, Suite 1900, Willow Street, PA 17584
- Phone
- (717) 544-4009
Annual test volume the lab reported
- Waived tests
- 3,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Willow Street, PA
- Dermatology Physicians IncCertificate for Provider-Performed Microscopy Procedures, Physician office39D0673423
- Healthworks Willow LakesCertificate of Waiver, Physician office39D2273417
- Integrityforward Health SolutionsCertificate of Waiver, Other39D2284848
- Lancaster Family Medicine AssocCertificate of Waiver, Other practitioner39D0188288
- Lancaster General Willow LakesCertificate of Waiver, Ancillary test site39D0188311
- Lancaster Pediatric Associates LTDCertificate of Waiver, Physician office39D0717814
- Meadow Ridge at Willow Valley CommunitiesCertificate of Waiver, Assisted living facility39D2285673
- Movement Matters Chiropractic, LLCCertificate of Waiver, Physician office39D2314583
- Penn Med Lghp Obgyn Willow StreetCertificate for Provider-Performed Microscopy Procedures, Physician office39D1056301
- Pshmg - South LancasterCertificate of Waiver, Physician office39D0188294
Related
Questions
What is the CLIA number for Family Medicine Willow Street in Willow Street?
39D2091464, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine Willow Street hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2091464 expire?
The CMS file lists March 25, 2027 as the certificate expiration date; the certificate took effect March 26, 2025.