CLIA lab
CLIA 39D2136442: Lackawaxen EMS
Hawley, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2136442 belongs to Lackawaxen EMS in Hawley, PA.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2017
- Facility type
- Ambulance
- Ownership (control type)
- Private
- 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
- 39D2136442
- Lab name
- Lackawaxen EMS
- Address
- 1611 Route 590, Hawley, PA 18428
- Phone
- (570) 685-4022
- Fax
- (570) 685-4085
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.
Other labs in Hawley, PA
- Hemlock Farms - Blooming Grove AmbulanceCertificate of Waiver, Ambulance39D2315014
- JS Med PA DBA Wallenpaupack MedicalCertificate of Waiver, Physician office39D2327597
- Lakota Family PracticeCertificate of Waiver, Other practitioner39D2291691
- Nhpp Internal Med & Immediate CareCertificate of Waiver, Physician office39D2340689
- Pike County Family Health CTRCertificate of Waiver, Community clinic39D0885599
- Tafton AmbulanceCertificate of Waiver, Ambulance39D2139178
- The Wright Center Medical GroupCertificate of Waiver, Federally qualified health center39D2276292
- Walgreens #19444Certificate of Waiver, Pharmacy39D2222874
Related
Questions
What is the CLIA number for Lackawaxen EMS in Hawley?
39D2136442, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lackawaxen EMS hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2136442 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.