CLIA lab
CLIA 39D2131677: Mount Nittany Park Ave Laboratory
State College, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2131677 belongs to Mount Nittany Park Ave Laboratory in State College, PA.
Certificate of Waiver, effective June 5, 2025, expires June 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
- June 5, 2025
- Certificate expiration
- June 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 5, 2017
- Facility type
- Hospital
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2131677
- Lab name
- Mount Nittany Park Ave Laboratory
- Address
- 143 Hospital Drive, State College, PA 16803
- Phone
- (814) 234-6117
- Fax
- (814) 231-7390
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.
Affiliated CLIA numbers
Other labs in State College, PA
- 365 Hospice, LLCCertificate of Waiver, Hospice39D1070518
- A Woman's Concern Pregnancy Resource ClinicCertificate of Waiver, Community clinic39D0962546
- Andventure, LLC DBA Aveanna HealthcareCertificate of Waiver, Home health agency39D1099928
- Backcountry Spine and Sport IncCertificate of Waiver, Other practitioner39D2266975
- Bayada Home Health Care, IncCertificate of Waiver, Home health agency39D2032853
- Bristol Hospice - State College, LLCCertificate of Waiver, Hospice39D2316329
- Brummert Family ChiropracticCertificate of Waiver, Other practitioner39D2130938
- CSL Plasma, Inc - State CollegeCertificate of Compliance, Other39D2173678
- Care Options for KidsCertificate of Waiver, Home health agency39D2324177
- Centre Lifelink EMSCertificate of Waiver, Ambulance39D1064095
Related
Questions
What is the CLIA number for Mount Nittany Park Ave Laboratory in State College?
39D2131677, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mount Nittany Park Ave Laboratory hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2131677 expire?
The CMS file lists June 4, 2027 as the certificate expiration date; the certificate took effect June 5, 2025.