CLIA lab
CLIA 39D0972311: Blue Mountain Pediatrics
Bangor, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0972311 belongs to Blue Mountain Pediatrics in Bangor, PA.
Certificate of Waiver, effective April 5, 2026, expires April 4, 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
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 5, 2026
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 5, 2000
- 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
- 39D0972311
- Lab name
- Blue Mountain Pediatrics
- Address
- 316 Washington Boulevard Unit II, Bangor, PA 18013
- Phone
- (610) 599-9000
- Fax
- (610) 599-9119
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 Bangor, PA
Related
Questions
What is the CLIA number for Blue Mountain Pediatrics in Bangor?
39D0972311, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blue Mountain Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0972311 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect April 5, 2026.