CLIA lab

CLIA 39D2120718: KGL Skin Study Center

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

CLIA number 39D2120718 belongs to KGL Skin Study Center in Broomall, PA.

Certificate of Waiver, effective October 24, 2024, expiration date October 23, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 24, 2024
Certificate expiration
October 23, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 24, 2016
Facility type
Other
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
39D2120718
Lab name
KGL Skin Study Center
Address
863 Sussex Blvd, Broomall, PA 19008
Phone
(610) 544-1715

Annual test volume the lab reported

Waived tests
25

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

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Questions

What is the CLIA number for KGL Skin Study Center in Broomall?

39D2120718, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does KGL Skin Study Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2120718 expire?

The CMS file lists October 23, 2026 as the certificate expiration date; the certificate took effect October 24, 2024.

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