CLIA lab
CLIA 39D1016761: Lvpg Family Medicine - West End
Brodheadsville, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1016761 belongs to Lvpg Family Medicine - West End in Brodheadsville, PA.
Certificate of Waiver, effective January 12, 2025, expires January 11, 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
- January 12, 2025
- Certificate expiration
- January 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 8, 2003
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 39D1016761
- Lab name
- Lvpg Family Medicine - West End
- Address
- 120 Burrus Boulevard Suite 200, Brodheadsville, PA 18322
- Phone
- (570) 992-2237
- Fax
- (570) 992-9884
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Pocono Community PharmacyCertificate of Waiver, Pharmacy39D2235765
- ST Luke's Care Now BrodheadsvilleCertificate of Waiver, Other39D2141138
- ST Lukes Cardiology AssociatesCertificate of Waiver, Physician office39D0996615
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Related
Questions
What is the CLIA number for Lvpg Family Medicine - West End in Brodheadsville?
39D1016761, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lvpg Family Medicine - West End hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1016761 expire?
The CMS file lists January 11, 2027 as the certificate expiration date; the certificate took effect January 12, 2025.