CLIA lab
CLIA 39D0683271: Edenbrook Second Ave
Kingston, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0683271 belongs to Edenbrook Second Ave in Kingston, 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
- April 29, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 39D0683271
- Lab name
- Edenbrook Second Ave
- Address
- 200 Second Ave, Kingston, PA 18704
- Phone
- (570) 288-9315
- Fax
- (570) 288-8081
Annual test volume the lab reported
- Waived tests
- 35,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Edenbrook on Second AveCMS Care Compare ratings for the facility at the same street address
Other labs in Kingston, PA
- Arthur B Mitchell MDCertificate of Waiver, Physician office39D0193187
- Associated Family Home Care, IncCertificate of Waiver, Home health agency39D0716841
- Commonwealth Health Physician NetworkCertificate of Waiver, Independent39D0193231
- Commonwealth Hlth Physician NetworkCertificate for Provider-Performed Microscopy Procedures, Physician office39D0193237
- Commonwealth Physicians NetworkCertificate of Waiver, Physician office39D0980378
- Convenientcare KingstonCertificate of Waiver, Rural health clinic39D2147556
- Debra T Miller MD LLCCertificate of Waiver, Physician office39D2009712
- Eye Care Specialists - VipCertificate for Provider-Performed Microscopy Procedures, Physician office39D1041884
- Geisinger Clinic DBA Geisinger 65 Forward KingstonCertificate of Waiver, Physician office39D2167172
- Geisinger KingstonCertificate of Waiver, Other39D0956447
Related
Questions
What is the CLIA number for Edenbrook Second Ave in Kingston?
39D0683271, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edenbrook Second Ave hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0683271 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.