CLIA lab
CLIA 39D2105880: Clean Slate Centers
Scranton, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2105880 belongs to Clean Slate Centers in Scranton, PA.
Certificate of Waiver, effective December 7, 2025, expires December 6, 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 7, 2025
- Certificate expiration
- December 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 7, 2015
- Facility type
- Physician office
- 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
- 39D2105880
- Lab name
- Clean Slate Centers
- Address
- 1020 West Lackawanna Ave, Scranton, PA 18504
- Phone
- (413) 584-2173
- Fax
- (413) 584-2427
Annual test volume the lab reported
- Waived tests
- 2,000
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 Clean Slate Centers in Scranton?
39D2105880, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clean Slate Centers hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2105880 expire?
The CMS file lists December 6, 2027 as the certificate expiration date; the certificate took effect December 7, 2025.