CLIA lab
CLIA 39D2136711: Larry Dolter D C
Ellwood City, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2136711 belongs to Larry Dolter D C in Ellwood City, PA.
Certificate of Waiver, effective September 14, 2025, expires September 13, 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
- September 14, 2025
- Certificate expiration
- September 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2017
- Facility type
- Other practitioner
- 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
- 39D2136711
- Lab name
- Larry Dolter D C
- Address
- 310-2 State Rt 288, Ellwood City, PA 16117
- Phone
- (724) 758-4711
- Fax
- (724) 758-9619
Annual test volume the lab reported
- Waived tests
- 240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ellwood City, PA
- Ahn-Ellwood City Primary CareCertificate of Waiver, Physician office39D0182828
- Apple Occupational Medical Services, LLCCertificate of Waiver, Community clinic39D2050535
- BHS Primary Care, Ellwood CityCertificate of Waiver, Physician office39D2181626
- Cvs/Pharmacy #05710Certificate of Waiver, Pharmacy39D2283334
- Ellwood Group Clinic Mobile Medical CorporationCertificate of Waiver, Other39D2177027
- Freedom Healthcare ServicesCertificate of Waiver, Other39D2133614
- Heritage Valley ConvenientcareCertificate of Waiver, Community clinic39D2050528
- Hvmg Primary Care Ellwood CityCertificate of Waiver, Physician office39D2095768
- PA Medical TransportCertificate of Waiver, Ambulance39D1092507
- Primary Health Network Ellwood City Primary CareCertificate of Waiver, Federally qualified health center39D2171115
Related
Questions
What is the CLIA number for Larry Dolter D C in Ellwood City?
39D2136711, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Larry Dolter D C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2136711 expire?
The CMS file lists September 13, 2027 as the certificate expiration date; the certificate took effect September 14, 2025.