CLIA lab
CLIA 39D2259489: Devine Concierge Medicine, LLC
Wayne, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2259489 belongs to Devine Concierge Medicine, LLC in Wayne, PA.
Certificate of Waiver, effective May 6, 2026, expires May 5, 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
- May 6, 2026
- Certificate expiration
- May 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 6, 2022
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 39D2259489
- Lab name
- Devine Concierge Medicine, LLC
- Address
- 165 Ridgewood Road, Wayne, PA 19087
- Phone
- (610) 486-5980
- Fax
- (610) 273-5596
Annual test volume the lab reported
- Waived tests
- 500
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 Devine Concierge Medicine, LLC in Wayne?
39D2259489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Devine Concierge Medicine, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2259489 expire?
The CMS file lists May 5, 2028 as the certificate expiration date; the certificate took effect May 6, 2026.