CLIA lab

CLIA 39D2138097: PH Integrated Recovery Care

Dubois, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 39D2138097 belongs to PH Integrated Recovery Care in Dubois, PA.

Certificate of Waiver, effective October 10, 2025, expires October 9, 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
October 10, 2025
Certificate expiration
October 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 10, 2017
Facility type
Physician office
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
39D2138097
Lab name
PH Integrated Recovery Care
Address
635 Maple Avenue, Dubois, PA 15801
Phone
(814) 661-8276
Fax
(814) 372-2616

Annual test volume the lab reported

Waived tests
100

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 PH Integrated Recovery Care in Dubois?

39D2138097, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does PH Integrated Recovery Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2138097 expire?

The CMS file lists October 9, 2027 as the certificate expiration date; the certificate took effect October 10, 2025.

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