CLIA lab
CLIA 39D0688402: Mnpg- Primary Care- Blue Course
State College, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0688402 belongs to Mnpg- Primary Care- Blue Course in State College, PA.
Certificate of Waiver, effective January 5, 2025, expires January 4, 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 Waiver
- Certificate effective
- January 5, 2025
- Certificate expiration
- January 4, 2027
- 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
- 39D0688402
- Lab name
- Mnpg- Primary Care- Blue Course
- Address
- 1700 Old Gatesburg Road, Suite 310, State College, PA 16803
- Phone
- (814) 237-3122
- Fax
- (814) 237-7178
Annual test volume the lab reported
- Waived tests
- 325
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Backcountry Spine and Sport IncCertificate of Waiver, Other practitioner39D2266975
- Bayada Home Health Care, IncCertificate of Waiver, Home health agency39D2032853
- Bristol Hospice - State College, LLCCertificate of Waiver, Hospice39D2316329
- Brummert Family ChiropracticCertificate of Waiver, Other practitioner39D2130938
- CSL Plasma, Inc - State CollegeCertificate of Compliance, Other39D2173678
- Care Options for KidsCertificate of Waiver, Home health agency39D2324177
- Centre Lifelink EMSCertificate of Waiver, Ambulance39D1064095
Related
Questions
What is the CLIA number for Mnpg- Primary Care- Blue Course in State College?
39D0688402, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mnpg- Primary Care- Blue Course hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0688402 expire?
The CMS file lists January 4, 2027 as the certificate expiration date; the certificate took effect January 5, 2025.