CLIA lab

CLIA 39D2109200: Pennsylvania Department of Health

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

CLIA number 39D2109200 belongs to Pennsylvania Department of Health in Harrisburg, PA.

Certificate of Waiver, effective August 2, 2025, expires August 1, 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
August 2, 2025
Certificate expiration
August 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 22, 2016
Facility type
Other
Ownership (control type)
Government, state
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
39D2109200
Lab name
Pennsylvania Department of Health
Address
625 Forster St, Room 1023, Harrisburg, PA 17120
Phone
(717) 787-3981
Fax
(717) 772-4309

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Harrisburg, PA

Related

Questions

What is the CLIA number for Pennsylvania Department of Health in Harrisburg?

39D2109200, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pennsylvania Department of Health hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2109200 expire?

The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.

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