CLIA lab
CLIA 39D2042350: Mount Nittany Med CTR Pain Mgmt Clinic
State College, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2042350 belongs to Mount Nittany Med CTR Pain Mgmt Clinic in State College, PA.
Certificate of Waiver, effective June 11, 2026, expires June 10, 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 11, 2026
- Certificate expiration
- June 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 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
- 39D2042350
- Lab name
- Mount Nittany Med CTR Pain Mgmt Clinic
- Address
- 1700 Old Gatesburg Road, Suite 100, State College, PA 16803
- Phone
- (814) 237-3360
- Fax
- (814) 237-2130
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- A Woman's Concern Pregnancy Resource ClinicCertificate of Waiver, Community clinic39D0962546
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- Backcountry Spine and Sport IncCertificate of Waiver, Other practitioner39D2266975
- Bayada Home Health Care, IncCertificate of Waiver, Home health agency39D2032853
- Bristol Hospice - State College, LLCCertificate of Waiver, Hospice39D2316329
- Brummert Family ChiropracticCertificate of Waiver, Other practitioner39D2130938
- CSL Plasma, Inc - State CollegeCertificate of Compliance, Other39D2173678
- Care Options for KidsCertificate of Waiver, Home health agency39D2324177
- Centre Lifelink EMSCertificate of Waiver, Ambulance39D1064095
Related
Questions
What is the CLIA number for Mount Nittany Med CTR Pain Mgmt Clinic in State College?
39D2042350, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mount Nittany Med CTR Pain Mgmt Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2042350 expire?
The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.