CLIA lab
CLIA 39D0911090: 2050 Trevorton Road Opco LLC
Coal Township, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0911090 belongs to 2050 Trevorton Road Opco LLC in Coal Township, PA.
Certificate of Waiver, effective April 1, 2026, expires March 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
- April 1, 2026
- Certificate expiration
- March 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 1996
- 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
- 39D0911090
- Lab name
- 2050 Trevorton Road Opco LLC
- Address
- 2050 Trevorton Road, Coal Township, PA 17866
- Phone
- (570) 644-4400
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Mountain View Rehabilitation and Senior Living CTRCMS Care Compare ratings for the facility at the same street address
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- Geisinger 65 Forward ShamokinCertificate of Waiver, Physician office39D2231258
- Geisinger Shamokin Area Community Hospital POCTCertificate for Provider-Performed Microscopy Procedures, Hospital39D2093213
- Geisinger Specialty Care ShamokinCertificate of Waiver, Physician office39D2156814
- Geisinger-Shamokin Area Community HospitalCertificate of Accreditation, Hospital39D0012185
- Sci-Coal TownshipCertificate of Waiver, Other39D1013156
- Shamokin DialysisCertificate of Waiver, End stage renal disease dialysis facility39D2185275
- Wardeh-Agha Med Center LLCCertificate of Waiver, Physician office39D0993190
Related
Questions
What is the CLIA number for 2050 Trevorton Road Opco LLC in Coal Township?
39D0911090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 2050 Trevorton Road Opco LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0911090 expire?
The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.