CLIA lab

CLIA 39D2103005: Icare Medical LLC

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

CLIA number 39D2103005 belongs to Icare Medical LLC in Ebensburg, PA.

Certificate of Waiver, effective October 5, 2025, expires October 4, 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
October 5, 2025
Certificate expiration
October 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 5, 2015
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
39D2103005
Lab name
Icare Medical LLC
Address
167 Zeman Drive, Ebensburg, PA 15931
Phone
(814) 472-9119
Fax
(814) 255-1928

Annual test volume the lab reported

Waived tests
300

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 Icare Medical LLC in Ebensburg?

39D2103005, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Icare Medical LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2103005 expire?

The CMS file lists October 4, 2027 as the certificate expiration date; the certificate took effect October 5, 2025.

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