CLIA lab

CLIA 39D2041965: Mount Nittany Center for Wound Care

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

CLIA number 39D2041965 belongs to Mount Nittany Center for Wound Care in State College, PA.

Certificate of Waiver, effective June 4, 2026, expires June 3, 2028.

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
June 4, 2026
Certificate expiration
June 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 4, 2012
Facility type
Ancillary test site
Ownership (control type)
Private
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
39D2041965
Lab name
Mount Nittany Center for Wound Care
Address
120 Radnor Road, Attention Jay Hoover, State College, PA 16801
Phone
(814) 231-7868
Fax
(814) 238-4169

Annual test volume the lab reported

Waived tests
300

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

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Questions

What is the CLIA number for Mount Nittany Center for Wound Care in State College?

39D2041965, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mount Nittany Center for Wound Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2041965 expire?

The CMS file lists June 3, 2028 as the certificate expiration date; the certificate took effect June 4, 2026.

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