CLIA lab

CLIA 39D2056221: Lghp Sycamore Square Family Medicine

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

CLIA number 39D2056221 belongs to Lghp Sycamore Square Family Medicine in Elizabethtown, PA.

Certificate of Waiver, effective March 25, 2025, expires March 24, 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
March 25, 2025
Certificate expiration
March 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 25, 2013
Facility type
Physician office
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
39D2056221
Lab name
Lghp Sycamore Square Family Medicine
Address
99 Masonic Drive, Suite 101, Elizabethtown, PA 17022
Phone
(717) 689-4243
Fax
(717) 689-1950

Annual test volume the lab reported

Waived tests
5,000

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 Lghp Sycamore Square Family Medicine in Elizabethtown?

39D2056221, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lghp Sycamore Square Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2056221 expire?

The CMS file lists March 24, 2027 as the certificate expiration date; the certificate took effect March 25, 2025.

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