CLIA lab
CLIA 39D0971622: Paul A Tomcykoski DO
Jessup, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0971622 belongs to Paul A Tomcykoski DO in Jessup, PA.
Certificate of Waiver, effective March 17, 2026, expires March 16, 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
- March 17, 2026
- Certificate expiration
- March 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 2000
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 39D0971622
- Lab name
- Paul A Tomcykoski DO
- Address
- 1355 Veterans Memorial Drive, Jessup, PA 18434
- Phone
- (570) 383-5453
- Fax
- (570) 291-0273
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 Paul A Tomcykoski DO in Jessup?
39D0971622, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Paul A Tomcykoski DO hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0971622 expire?
The CMS file lists March 16, 2028 as the certificate expiration date; the certificate took effect March 17, 2026.