CLIA lab
CLIA 39D0719571: Lvh-Schuylkill S Jackson
Pottsville, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0719571 belongs to Lvh-Schuylkill S Jackson in Pottsville, PA.
Certificate of Waiver, effective April 29, 2025, expires April 28, 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
- April 29, 2025
- Certificate expiration
- April 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 1993
- Facility type
- Hospital
- 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
- 39D0719571
- Lab name
- Lvh-Schuylkill S Jackson
- Address
- 420 S Jackson St, Pottsville, PA 17901
- Phone
- (570) 621-4031
- Fax
- (570) 628-5431
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Schuylkill Medical Center - South Jackson StreetCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Lvh-Schuylkill S Jackson in Pottsville?
39D0719571, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lvh-Schuylkill S Jackson hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0719571 expire?
The CMS file lists April 28, 2027 as the certificate expiration date; the certificate took effect April 29, 2025.