CLIA lab
CLIA 39D0904034: Manor at Susquehanna Village, the
Millersburg, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0904034 belongs to Manor at Susquehanna Village, the in Millersburg, PA.
Certificate of Waiver, effective August 4, 2025, expires August 3, 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
- August 4, 2025
- Certificate expiration
- August 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 4, 1995
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 39D0904034
- Lab name
- Manor at Susquehanna Village, the
- Address
- 990 Medical Road, Millersburg, PA 17061
- Phone
- (717) 692-4751
- Fax
- (717) 692-4588
Annual test volume the lab reported
- Waived tests
- 570
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Northern Dauphin Nursing and Rehabilitation CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Millersburg, PA
- Family Practice Center MillersburgCertificate of Waiver, Physician office39D2119622
- Lifeline Resource CenterCertificate of Waiver, Physician office39D2335380
- Millersburg Area AmbulanceCertificate of Waiver, Ambulatory surgery center39D2171004
- RCG MillersburgCertificate of Waiver, Other39D0956459
- UPMC Womn 1st Ob/Gyn SpecialistsCertificate for Provider-Performed Microscopy Procedures, Physician office39D0914580
Related
Questions
What is the CLIA number for Manor at Susquehanna Village, the in Millersburg?
39D0904034, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Manor at Susquehanna Village, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0904034 expire?
The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.