CLIA lab

CLIA 39D0662965: Port Allegany Family Practice

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

CLIA number 39D0662965 belongs to Port Allegany Family Practice in Port Allegany, PA.

Certificate for Provider-Performed Microscopy Procedures, effective June 25, 2026, expires June 24, 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 for Provider-Performed Microscopy Procedures
Certificate effective
June 25, 2026
Certificate expiration
June 24, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
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
39D0662965
Lab name
Port Allegany Family Practice
Address
1 Willow Street, Port Allegany, PA 16743
Phone
(814) 642-9531
Fax
(814) 642-2020

Annual test volume the lab reported

Waived tests
775
Provider-performed microscopy tests
100
Total
875

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 Port Allegany Family Practice in Port Allegany?

39D0662965, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Port Allegany Family Practice hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 39D0662965 expire?

The CMS file lists June 24, 2028 as the certificate expiration date; the certificate took effect June 25, 2026.

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