CLIA lab
CLIA 39D1063107: Indiana Care Network
Bolivar, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1063107 belongs to Indiana Care Network in Bolivar, PA.
Certificate of Waiver, effective January 5, 2025, expires January 4, 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 5, 2025
- Certificate expiration
- January 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2007
- 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
- 39D1063107
- Lab name
- Indiana Care Network
- Address
- 802 Mckinley Street, Bolivar, PA 15923
- Phone
- (724) 676-4709
- Fax
- (724) 676-4752
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Indiana Care Network in Bolivar?
39D1063107, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Indiana Care Network hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1063107 expire?
The CMS file lists January 4, 2027 as the certificate expiration date; the certificate took effect January 5, 2025.