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CLIA 39D2095685: FKC - Logan
Philadelphia, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2095685 belongs to FKC - Logan in Philadelphia, PA.
Certificate of Waiver, effective September 8, 2025, expires September 7, 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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Map the testsCertificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 8, 2025
- Certificate expiration
- September 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 2015
- Facility type
- End stage renal disease dialysis facility
- 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
- 39D2095685
- Lab name
- FKC - Logan
- Address
- 5201 Old York Road, Philadelphia, PA 19141
- Phone
- (215) 457-2261
- Fax
- (215) 457-4192
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- FKC LoganCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for FKC - Logan in Philadelphia?
39D2095685, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does FKC - Logan hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2095685 expire?
The CMS file lists September 7, 2027 as the certificate expiration date; the certificate took effect September 8, 2025.