CLIA lab
CLIA 39D2198510: Broad ST Professional Med Services LLC
Southampton, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2198510 belongs to Broad ST Professional Med Services LLC in Southampton, PA.
Certificate of Waiver, effective November 3, 2024, expires November 2, 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
- November 3, 2024
- Certificate expiration
- November 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 3, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 39D2198510
- Lab name
- Broad ST Professional Med Services LLC
- Address
- 404 Second Street Pike, Southampton, PA 18966
- Phone
- (847) 257-1237
- Fax
- (888) 688-8271
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Southampton, PA
- Afc Urgent Care SouthamptonCertificate of Waiver, Physician office39D2276378
- Argo Home Health Care IncCertificate of Waiver, Home health agency39D2143638
- At Home RehabCertificate of Waiver, Home health agency39D2012604
- Butterwick MedicalCertificate of Waiver, Physician office39D2119395
- Keith Sadel MD Int Med LLCCertificate of Waiver, Physician office39D1098616
- Kole Plastic Surgery CenterCertificate of Waiver, Ambulatory surgery center39D1017649
- Myeyedr Optometry of PA, LLCCertificate of Waiver, Physician office39D2347127
- Obt at Southampton EstatesCertificate of Waiver, Assisted living facility39D2343612
- PC Serv at Southampton EstatesCertificate of Waiver, Physician office39D2098001
- Paul M Izes DOCertificate of Waiver, Physician office39D0976704
Related
Questions
What is the CLIA number for Broad ST Professional Med Services LLC in Southampton?
39D2198510, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broad ST Professional Med Services LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2198510 expire?
The CMS file lists November 2, 2026 as the certificate expiration date; the certificate took effect November 3, 2024.