CLIA lab
CLIA 39D2155122: Wellspan Family Medicine - Spring Grove
Spring Grove, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2155122 belongs to Wellspan Family Medicine - Spring Grove in Spring Grove, PA.
Certificate of Waiver, effective April 2, 2026, expires April 1, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 2, 2026
- Certificate expiration
- April 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2018
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 39D2155122
- Lab name
- Wellspan Family Medicine - Spring Grove
- Address
- 430 N Main St, Suite 4, Spring Grove, PA 17362
- Phone
- (717) 851-6500
- Fax
- (717) 775-3435
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 Spring Grove, PA
- Ccp-Spring GroveCertificate of Waiver, Physician office39D0933817
- Everside Health LLC - Rocket Wellness CenterCertificate of Waiver, Other39D2268460
- Kennie's Pharmacy - Spring GroveCertificate of Waiver, Pharmacy39D2244700
- Pixelle Specialty SolutionsCertificate of Waiver, Industrial39D2178271
- UPMC Ob/Gyn SpecialistsCertificate for Provider-Performed Microscopy Procedures, Physician office39D2045022
- UPMC Spring Grove Primary CareCertificate of Waiver, Physician office39D2010031
Related
Questions
What is the CLIA number for Wellspan Family Medicine - Spring Grove in Spring Grove?
39D2155122, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wellspan Family Medicine - Spring Grove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2155122 expire?
The CMS file lists April 1, 2028 as the certificate expiration date; the certificate took effect April 2, 2026.