CLIA lab
CLIA 39D1105974: Citizens Hose Co of Jersey Shore (Jsa EMS)
Jersey Shore, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1105974 belongs to Citizens Hose Co of Jersey Shore (Jsa EMS) in Jersey Shore, PA.
Certificate of Waiver, effective October 2, 2025, expires October 1, 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
- October 2, 2025
- Certificate expiration
- October 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 2009
- Facility type
- Ambulance
- 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
- 39D1105974
- Lab name
- Citizens Hose Co of Jersey Shore (Jsa EMS)
- Address
- Citizens Hose Company, 1212 Locust Street, Jersey Shore, PA 17740
- Phone
- (570) 398-0782
- Fax
- (570) 398-3520
Annual test volume the lab reported
- Waived tests
- 260
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jersey Shore, PA
- Geisinger Jersey Shore ClinicCertificate of Waiver, Physician office39D2180574
- Geisinger Jersey Shore Hosp - POCTCertificate of Waiver, Hospital39D2156147
- Geisinger Jersey Shore HospitalCertificate of Accreditation, Hospital39D0188969
- Jersey Shore Skilled NSG & RehabCertificate of Waiver, Skilled nursing or nursing facility39D0674340
- Pine Creek Family MedicineCertificate of Waiver, Physician office39D2271610
Related
Questions
What is the CLIA number for Citizens Hose Co of Jersey Shore (Jsa EMS) in Jersey Shore?
39D1105974, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Citizens Hose Co of Jersey Shore (Jsa EMS) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1105974 expire?
The CMS file lists October 1, 2027 as the certificate expiration date; the certificate took effect October 2, 2025.