CLIA lab
CLIA 39D1012219: Lvpg Obstetrics and Gynecology-Tobyhanna
Tobyhanna, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1012219 belongs to Lvpg Obstetrics and Gynecology-Tobyhanna in Tobyhanna, PA.
Certificate of Waiver, effective December 19, 2025, expires December 18, 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
- December 19, 2025
- Certificate expiration
- December 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 5, 2003
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 39D1012219
- Lab name
- Lvpg Obstetrics and Gynecology-Tobyhanna
- Address
- 100 Community Drive Suite 205, Tobyhanna, PA 18466
- Phone
- (570) 426-2700
- Fax
- (570) 895-4332
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Tobyhanna, PA
- Bayada Home Health Care IncCertificate of Waiver, Home health agency39D1093297
- Jeffexpress TobyhannaCertificate of Waiver, Physician office39D1012217
- Lvpg Fam & Internal Med - TobyhannaCertificate of Waiver, Physician office39D2172453
- MT Pocono DialysisCertificate of Waiver, Other39D1007433
- Pocono Mountain Regional EMSCertificate of Waiver, Ambulance39D2136212
- ST Lukes Family Medicine TobyhannaCertificate of Waiver, Physician office39D2266402
- Tobyhanna OpcCertificate of Accreditation, Community clinic39D1038002
- Vhp-Pediatrics TobyhannaCertificate of Waiver, Physician office39D2168908
Related
Questions
What is the CLIA number for Lvpg Obstetrics and Gynecology-Tobyhanna in Tobyhanna?
39D1012219, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lvpg Obstetrics and Gynecology-Tobyhanna hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1012219 expire?
The CMS file lists December 18, 2027 as the certificate expiration date; the certificate took effect December 19, 2025.