CLIA lab
CLIA 39D0903220: Mount Nittany Physician Group Im
State College, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0903220 belongs to Mount Nittany Physician Group Im in State College, PA.
Certificate of Waiver, effective April 8, 2025, expires April 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 8, 2025
- Certificate expiration
- April 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 17, 1995
- 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
- 39D0903220
- Lab name
- Mount Nittany Physician Group Im
- Address
- 143 Hospital Drive, State College, PA 16803
- Phone
- (814) 278-4680
- Fax
- (814) 235-1523
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in State College, PA
- 365 Hospice, LLCCertificate of Waiver, Hospice39D1070518
- A Woman's Concern Pregnancy Resource ClinicCertificate of Waiver, Community clinic39D0962546
- Andventure, LLC DBA Aveanna HealthcareCertificate of Waiver, Home health agency39D1099928
- 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 Mount Nittany Physician Group Im in State College?
39D0903220, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mount Nittany Physician Group Im hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0903220 expire?
The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.