CLIA lab

CLIA 39D2150103: Thomas Jefferson Univ Hosp Oral & Max Surg

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

CLIA number 39D2150103 belongs to Thomas Jefferson Univ Hosp Oral & Max Surg in Philadelphia, PA.

Certificate of Waiver, effective June 18, 2026, expires June 17, 2028.

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
June 18, 2026
Certificate expiration
June 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 18, 2018
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
39D2150103
Lab name
Thomas Jefferson Univ Hosp Oral & Max Surg
Address
10800 Knights Rd, Suite 125, Philadelphia, PA 19114
Phone
(215) 612-8480
Fax
(215) 612-8482

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.

Affiliated CLIA numbers

Other labs in Philadelphia, PA

Related

Questions

What is the CLIA number for Thomas Jefferson Univ Hosp Oral & Max Surg in Philadelphia?

39D2150103, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Thomas Jefferson Univ Hosp Oral & Max Surg hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2150103 expire?

The CMS file lists June 17, 2028 as the certificate expiration date; the certificate took effect June 18, 2026.

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