CLIA lab

CLIA 39D2069923: Premise Health of PA Medical, PC

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

CLIA number 39D2069923 belongs to Premise Health of PA Medical, PC in Pittston, PA.

Certificate of Waiver, effective December 6, 2025, expires December 5, 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
December 6, 2025
Certificate expiration
December 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 6, 2013
Facility type
Other
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
39D2069923
Lab name
Premise Health of PA Medical, PC
Additional name
Medical Offices of Occupational Health Resources P
Address
200 Center Point Boulevard, Pittston, PA 18640
Phone
(570) 603-6111
Fax
(570) 603-6198

Annual test volume the lab reported

Waived tests
100

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 Premise Health of PA Medical, PC in Pittston?

39D2069923, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premise Health of PA Medical, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2069923 expire?

The CMS file lists December 5, 2027 as the certificate expiration date; the certificate took effect December 6, 2025.

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