CLIA lab
CLIA 39D2051582: Addison of Moorehead Place, the
Indiana, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2051582 belongs to Addison of Moorehead Place, the in Indiana, PA.
Certificate of Waiver, effective November 14, 2024, expires November 13, 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
- November 14, 2024
- Certificate expiration
- November 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2012
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- 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
- 39D2051582
- Lab name
- Addison of Moorehead Place, the
- Address
- 116 Madison Circle, Indiana, PA 15701
- Phone
- (724) 465-9606
- Fax
- (724) 427-1218
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Addison of Moorehead Place, the in Indiana?
39D2051582, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Addison of Moorehead Place, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2051582 expire?
The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.