CLIA lab
CLIA 39D2069924: Premise Health of PA Medical, PC
Pottsville, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2069924 belongs to Premise Health of PA Medical, PC in Pottsville, 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
- 39D2069924
- Lab name
- Premise Health of PA Medical, PC
- Additional name
- Medical Offices of Occupational Health Resources,
- Address
- 1201 Keystone Boulevard, Pottsville, PA 17901
- Phone
- (570) 544-1633
- Fax
- (570) 544-9872
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Conewago PottsvilleCertificate of Waiver, Other39D2039252
- Edenbrook of Greenwood HillCertificate of Waiver, Skilled nursing or nursing facility39D0695252
Related
Questions
What is the CLIA number for Premise Health of PA Medical, PC in Pottsville?
39D2069924, 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 39D2069924 expire?
The CMS file lists December 5, 2027 as the certificate expiration date; the certificate took effect December 6, 2025.