CLIA lab

CLIA 39D2190964: Mlhc OB GYN at Roxborough

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

CLIA number 39D2190964 belongs to Mlhc OB GYN at Roxborough in Philadelphia, PA.

Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.

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
December 1, 2024
Certificate expiration
November 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
August 21, 2020
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
39D2190964
Lab name
Mlhc OB GYN at Roxborough
Address
7116 Ridge Avenue, Philadelphia, PA 19128
Phone
(484) 227-0977
Fax
(484) 227-7586

Annual test volume the lab reported

Waived tests
100

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

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Related

Questions

What is the CLIA number for Mlhc OB GYN at Roxborough in Philadelphia?

39D2190964, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mlhc OB GYN at Roxborough hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2190964 expire?

The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.

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