CLIA lab
CLIA 39D0886113: Locust Grove Retirement Village
Mifflin, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0886113 belongs to Locust Grove Retirement Village in Mifflin, PA.
Certificate of Waiver, effective May 13, 2026, expires May 12, 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
- May 13, 2026
- Certificate expiration
- May 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 1994
- Facility type
- Skilled nursing or nursing facility
- 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
- 39D0886113
- Lab name
- Locust Grove Retirement Village
- Address
- 69 Cottage Road, Mifflin, PA 17058
- Phone
- (717) 436-8921
- Fax
- (717) 436-9165
Annual test volume the lab reported
- Waived tests
- 140
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Locust Grove Retirement VillageCMS Care Compare ratings for the facility at the same street address
Related
Questions
What is the CLIA number for Locust Grove Retirement Village in Mifflin?
39D0886113, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Locust Grove Retirement Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0886113 expire?
The CMS file lists May 12, 2028 as the certificate expiration date; the certificate took effect May 13, 2026.