CLIA lab
CLIA 39D0995041: Family Practice Center Shamokin Dam
Shamokin Dam, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D0995041 belongs to Family Practice Center Shamokin Dam in Shamokin Dam, PA.
Certificate of Waiver, effective January 9, 2026, expires January 8, 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
- January 9, 2026
- Certificate expiration
- January 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 9, 2002
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D0995041
- Lab name
- Family Practice Center Shamokin Dam
- Address
- 3057 North Susquehanna Trail, Shamokin Dam, PA 17876
- Phone
- (570) 743-1112
- Fax
- (270) 743-2045
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Shamokin Dam, PA
Related
Questions
What is the CLIA number for Family Practice Center Shamokin Dam in Shamokin Dam?
39D0995041, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Practice Center Shamokin Dam hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D0995041 expire?
The CMS file lists January 8, 2028 as the certificate expiration date; the certificate took effect January 9, 2026.