CLIA lab

CLIA 39D1017425: Pediatric Associates of Kingston LLC

Kingston, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 39D1017425 belongs to Pediatric Associates of Kingston LLC in Kingston, PA.

Certificate of Waiver, effective April 8, 2025, expires April 7, 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
April 8, 2025
Certificate expiration
April 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 25, 2003
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
39D1017425
Lab name
Pediatric Associates of Kingston LLC
Address
451 3rd Avenue, Kingston, PA 18704
Phone
(570) 288-6543
Fax
(570) 288-7130

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Kingston, PA

Related

Questions

What is the CLIA number for Pediatric Associates of Kingston LLC in Kingston?

39D1017425, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Associates of Kingston LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D1017425 expire?

The CMS file lists April 7, 2027 as the certificate expiration date; the certificate took effect April 8, 2025.

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