CLIA lab
CLIA 39D2260125: Walnut Grove Family Medicine, PLLC
Willow Street, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2260125 belongs to Walnut Grove Family Medicine, PLLC in Willow Street, PA.
Certificate of Waiver, effective May 16, 2026, expires May 15, 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 16, 2026
- Certificate expiration
- May 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 16, 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
- 39D2260125
- Lab name
- Walnut Grove Family Medicine, PLLC
- Address
- 3100 Willow Street Pk, Willow Street, PA 17584
- Phone
- (717) 723-9104
- Fax
- (717) 349-9499
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.
Other labs in Willow Street, PA
- Dermatology Physicians IncCertificate for Provider-Performed Microscopy Procedures, Physician office39D0673423
- Family Medicine Willow StreetCertificate of Waiver, Physician office39D2091464
- Healthworks Willow LakesCertificate of Waiver, Physician office39D2273417
- Integrityforward Health SolutionsCertificate of Waiver, Other39D2284848
- Lancaster Family Medicine AssocCertificate of Waiver, Other practitioner39D0188288
- Lancaster General Willow LakesCertificate of Waiver, Ancillary test site39D0188311
- Lancaster Pediatric Associates LTDCertificate of Waiver, Physician office39D0717814
- Meadow Ridge at Willow Valley CommunitiesCertificate of Waiver, Assisted living facility39D2285673
- Movement Matters Chiropractic, LLCCertificate of Waiver, Physician office39D2314583
- Penn Med Lghp Obgyn Willow StreetCertificate for Provider-Performed Microscopy Procedures, Physician office39D1056301
Related
Questions
What is the CLIA number for Walnut Grove Family Medicine, PLLC in Willow Street?
39D2260125, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Walnut Grove Family Medicine, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2260125 expire?
The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.