CLIA lab

CLIA 39D2072635: Lebanon Free Clinic

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

CLIA number 39D2072635 belongs to Lebanon Free Clinic in Lebanon, PA.

Certificate of Waiver, effective February 4, 2026, expires February 3, 2028.

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
February 4, 2026
Certificate expiration
February 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 4, 2014
Facility type
Other
Ownership (control type)
Religious affiliation
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
39D2072635
Lab name
Lebanon Free Clinic
Address
135 S Ninth Street, Lebanon, PA 17042
Phone
(717) 273-2715
Fax
(717) 273-5802

Annual test volume the lab reported

Waived tests
2,200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lebanon, PA

Related

Questions

What is the CLIA number for Lebanon Free Clinic in Lebanon?

39D2072635, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lebanon Free Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2072635 expire?

The CMS file lists February 3, 2028 as the certificate expiration date; the certificate took effect February 4, 2026.

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