CLIA lab
CLIA 39D2221254: Gaudenzia Outreach I Outpatient Services
Philadelphia, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2221254 belongs to Gaudenzia Outreach I Outpatient Services in Philadelphia, PA.
Certificate of Waiver, effective April 20, 2025, expires April 19, 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
- April 20, 2025
- Certificate expiration
- April 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 2021
- Facility type
- Other practitioner
- Ownership (control type)
- Private
- 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
- 39D2221254
- Lab name
- Gaudenzia Outreach I Outpatient Services
- Address
- 1306 Spring Garden Street, 1st Floor, Philadelphia, PA 19123
- Phone
- (215) 238-2150
- Fax
- (215) 238-2157
Annual test volume the lab reported
- Waived tests
- 700
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 Gaudenzia Outreach I Outpatient Services in Philadelphia?
39D2221254, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gaudenzia Outreach I Outpatient Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2221254 expire?
The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.