CLIA lab
CLIA 39D0880202: Candyce A Lucian DO Laboratory
Conneaut Lake, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0880202 belongs to Candyce A Lucian DO Laboratory in Conneaut Lake, PA.
Certificate of Waiver, effective December 8, 2025, expires December 7, 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
- December 8, 2025
- Certificate expiration
- December 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 8, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D0880202
- Lab name
- Candyce A Lucian DO Laboratory
- Address
- 8508 State Highway 285, Conneaut Lake, PA 16316
- Phone
- (814) 382-5703
- Fax
- (814) 382-5707
Annual test volume the lab reported
- Waived tests
- 100
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 Candyce A Lucian DO Laboratory in Conneaut Lake?
39D0880202, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Candyce A Lucian DO Laboratory hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0880202 expire?
The CMS file lists December 7, 2027 as the certificate expiration date; the certificate took effect December 8, 2025.