CLIA lab

CLIA 39D1093295: Ccmh General Surgery

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

CLIA number 39D1093295 belongs to Ccmh General Surgery in Coudersport, PA.

Certificate of Waiver, effective December 16, 2024, expires December 15, 2026.

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 16, 2024
Certificate expiration
December 15, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 16, 2008
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
39D1093295
Lab name
Ccmh General Surgery
Address
1001 East Second Street, Coudersport, PA 16915
Phone
(814) 274-7474
Fax
(814) 274-7970

Annual test volume the lab reported

Waived tests
200

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

Affiliated CLIA numbers

Other labs in Coudersport, PA

Related

Questions

What is the CLIA number for Ccmh General Surgery in Coudersport?

39D1093295, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ccmh General Surgery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D1093295 expire?

The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.

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