CLIA lab
CLIA 39D2052714: Pediatric Services of America, LLC
Olyphant, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2052714 belongs to Pediatric Services of America, LLC in Olyphant, PA.
Certificate of Waiver, effective January 17, 2025, expires January 16, 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
- January 17, 2025
- Certificate expiration
- January 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 17, 2013
- Facility type
- Home health agency
- 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
- 39D2052714
- Lab name
- Pediatric Services of America, LLC
- Additional name
- D/B/A Aveanna Healthcare
- Address
- 1456 E Lackawanna Avenue, Olyphant, PA 18447
- Phone
- (570) 319-2053
- Fax
- (570) 319-6459
Annual test volume the lab reported
- Waived tests
- 99
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Aveanna HealthcareCMS Care Compare ratings for the facility at the same street address
Other labs in Olyphant, PA
- Better Health Pharmacy & WellnessCertificate of Waiver, Pharmacy39D2232429
- Compassionate Care HospiceCertificate of Waiver, Hospice39D1035584
- Thomas G Majernick DO LaboratoryCertificate of Waiver, Physician office39D0946522
- Valley Integrated Urgent Care & Wellness CTRCertificate of Waiver, Physician office39D2307016
Related
Questions
What is the CLIA number for Pediatric Services of America, LLC in Olyphant?
39D2052714, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Services of America, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2052714 expire?
The CMS file lists January 16, 2027 as the certificate expiration date; the certificate took effect January 17, 2025.