CLIA lab
CLIA 39D2103030: Mirmont Outpatient Services
Broomall, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2103030 belongs to Mirmont Outpatient Services in Broomall, PA.
Certificate of Waiver, effective October 5, 2025, expires October 4, 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
- October 5, 2025
- Certificate expiration
- October 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 2015
- Facility type
- Other
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2103030
- Lab name
- Mirmont Outpatient Services
- Address
- 600 Abbott Drive, Broomall, PA 19008
- Phone
- (484) 476-1800
- Fax
- (484) 471-5151
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Broomall, PA
- Accucare Home Nursing IncCertificate of Waiver, Home health agency39D0897533
- Acme Pharmacy #3798Certificate of Waiver, Pharmacy39D2063826
- Advocare Broomall Pediatric AssociatesCertificate of Waiver, Physician office39D0720005
- Bayada Home Health Care, IncCertificate of Waiver, Home health agency39D2146721
- Broomall ManorCertificate of Waiver, Skilled nursing or nursing facility39D2071242
- CHP - Gencare Mobile LabCertificate of Waiver, Health fair39D1086280
- Chrcare Primary Care BroomallCertificate of Waiver, Physician office39D2334019
- Christianacare Pet Imaging at BMCertificate of Waiver, Ancillary test site39D2108005
- Cvs/Pharmacy #05462Certificate of Waiver, Pharmacy39D2284374
- Ethos Treatment, LLCCertificate of Waiver, Comprehensive outpatient rehab facility39D2345404
Related
Questions
What is the CLIA number for Mirmont Outpatient Services in Broomall?
39D2103030, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mirmont Outpatient Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2103030 expire?
The CMS file lists October 4, 2027 as the certificate expiration date; the certificate took effect October 5, 2025.