CLIA lab
CLIA 39D2268445: Premise Health of Pennsylvania Medical, PC
Canonsburg, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2268445 belongs to Premise Health of Pennsylvania Medical, PC in Canonsburg, PA.
Certificate of Waiver, effective September 13, 2026, expires September 12, 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
- September 13, 2026
- Certificate expiration
- September 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 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
- 39D2268445
- Lab name
- Premise Health of Pennsylvania Medical, PC
- Address
- 1000 Mylan Blvd, Canonsburg, PA 15317
- Phone
- (304) 554-5298
- Fax
- (304) 462-2447
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Canonsburg, PA
- Bayada Home Health Care, IncCertificate of Waiver, Home health agency39D2142085
- Canonsburg Gen Hsp/Cardio PulmCertificate of Accreditation, Hospital39D0712503
- Canonsburg HospitalCertificate of Accreditation, Hospital39D0657066
- Celtic Healthcare of Westmoreland, LLCCertificate of Waiver, Home health agency39D1085489
- Concordia Hospice of WashingtonCertificate of Waiver, Hospice39D2118565
- Crossroads Treatment Centers CanCertificate of Waiver, Other39D2188549
- Everett & Hurite Ophthalmic AssociationCertificate of Waiver, Physician office39D2097088
- Home Health Agency-Pennsylvania, LLCCertificate of Waiver, Home health agency39D1071704
- Kadima Rehab & Nursing at N StrabaneCertificate of Waiver, Skilled nursing or nursing facility39D2318251
- Liberty Dialysis SouthpointeCertificate of Waiver, End stage renal disease dialysis facility39D1065945
Related
Questions
What is the CLIA number for Premise Health of Pennsylvania Medical, PC in Canonsburg?
39D2268445, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Pennsylvania Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2268445 expire?
The CMS file lists September 12, 2028 as the certificate expiration date; the certificate took effect September 13, 2026.