CLIA lab
CLIA 39D2136770: Jacobus Lions Club Ambulance
Jacobus, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2136770 belongs to Jacobus Lions Club Ambulance in Jacobus, PA.
Certificate of Waiver, effective September 15, 2025, expires September 14, 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 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 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
- 39D2136770
- Lab name
- Jacobus Lions Club Ambulance
- Address
- 18 South Main Street, Jacobus, PA 17407
- Phone
- (717) 428-0218
- Fax
- (717) 428-3259
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Jacobus Lions Club Ambulance in Jacobus?
39D2136770, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jacobus Lions Club Ambulance hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2136770 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.