CLIA lab

CLIA 39D0188312: Willow Valley Lakes Manor

Willow Street, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 39D0188312 belongs to Willow Valley Lakes Manor in Willow Street, PA.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Private
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
39D0188312
Lab name
Willow Valley Lakes Manor
Address
300 Willow Valley Lakes Dr, Attn Lakeside Director Of Nursing, Willow Street, PA 17584
Phone
(717) 464-0286
Fax
(717) 544-3021

Annual test volume the lab reported

Waived tests
1,113

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Willow Street, PA

Related

Questions

What is the CLIA number for Willow Valley Lakes Manor in Willow Street?

39D0188312, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Willow Valley Lakes Manor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D0188312 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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