CLIA lab
CLIA 39D2124006: Wellspan Interventional Pain Specialists - Lebanon
Lebanon, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2124006 belongs to Wellspan Interventional Pain Specialists - Lebanon in Lebanon, PA.
Certificate of Waiver, effective January 9, 2025, expires January 8, 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
- January 9, 2025
- Certificate expiration
- January 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2017
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 39D2124006
- Lab name
- Wellspan Interventional Pain Specialists - Lebanon
- Address
- 956 Isabel Drive, Lebanon, PA 17042
- Phone
- (717) 639-2255
- Fax
- (717) 675-2583
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Allcare Family Health PCCertificate of Waiver, Physician office39D1029079
- Alpine Valley Post Acute and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility39D0186028
- Brewer Family WellnessCertificate of Waiver, Physician office39D2269776
- Careatc WalnutCertificate of Waiver, Physician office39D2164650
- Centers for Advanced Urology, LLP, theCertificate for Provider-Performed Microscopy Procedures, Physician office39D1017641
- Cornerstoen DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office39D1008516
- Cvs/Pharmacy #01631Certificate of Waiver, Pharmacy39D2259109
- Dermatology Associates of LebanonCertificate of Compliance, Physician office39D0185974
Related
Questions
What is the CLIA number for Wellspan Interventional Pain Specialists - Lebanon in Lebanon?
39D2124006, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellspan Interventional Pain Specialists - Lebanon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2124006 expire?
The CMS file lists January 8, 2027 as the certificate expiration date; the certificate took effect January 9, 2025.