CLIA lab
CLIA 39D1020403: Lvpg Family Med - Pine Grove
Pine Grove, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1020403 belongs to Lvpg Family Med - Pine Grove in Pine Grove, PA.
Certificate of Waiver, effective December 18, 2025, expires December 17, 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 18, 2025
- Certificate expiration
- December 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 18, 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
- 39D1020403
- Lab name
- Lvpg Family Med - Pine Grove
- Address
- 121 S Tulpehocken Street, Pine Grove, PA 17963
- Phone
- (570) 345-2345
- Fax
- (570) 345-2350
Other labs in Pine Grove, PA
Related
Questions
What is the CLIA number for Lvpg Family Med - Pine Grove in Pine Grove?
39D1020403, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lvpg Family Med - Pine Grove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1020403 expire?
The CMS file lists December 17, 2027 as the certificate expiration date; the certificate took effect December 18, 2025.