CLIA lab
CLIA 39D0189070: Bucktail Medical Center
South Renovo, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0189070 belongs to Bucktail Medical Center in South Renovo, PA.
Certificate of Compliance, effective November 16, 2025, expires November 15, 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 Compliance
- Certificate effective
- November 16, 2025
- Certificate expiration
- November 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Hospital
- Ownership (control type)
- Other
- 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
- 39D0189070
- Lab name
- Bucktail Medical Center
- Address
- 1001 Pine Street, South Renovo, PA 17764
- Phone
- (570) 447-9566
- Fax
- (570) 231-1189
Annual test volume the lab reported
- Waived tests
- 400
- Other nonwaived tests
- 42,145
- Total
- 42,545
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Bucktail Medical CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Bucktail Medical Center in South Renovo?
39D0189070, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bucktail Medical Center hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 39D0189070 expire?
The CMS file lists November 15, 2027 as the certificate expiration date; the certificate took effect November 16, 2025.