CLIA lab

CLIA 39D0722884: Kutztown Manor Inc

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

CLIA number 39D0722884 belongs to Kutztown Manor Inc in Kutztown, 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
May 19, 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
39D0722884
Lab name
Kutztown Manor Inc
Address
120 Trexler Avenue, Kutztown, PA 19530
Phone
(610) 683-6220
Fax
(610) 683-6849

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Kutztown, PA

Related

Questions

What is the CLIA number for Kutztown Manor Inc in Kutztown?

39D0722884, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kutztown Manor Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D0722884 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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