CLIA lab

CLIA 39D2142694: Excela Square Latrobe PC

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

CLIA number 39D2142694 belongs to Excela Square Latrobe PC in Latrobe, PA.

Certificate of Waiver, effective January 18, 2026, expires January 17, 2028.

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
January 18, 2026
Certificate expiration
January 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 18, 2018
Facility type
Physician office
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
39D2142694
Lab name
Excela Square Latrobe PC
Address
100 Excela Health Dr, Ste 201, Latrobe, PA 15650
Phone
(724) 804-1725
Fax
(724) 804-1727

Annual test volume the lab reported

Waived tests
360

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 Excela Square Latrobe PC in Latrobe?

39D2142694, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Excela Square Latrobe PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2142694 expire?

The CMS file lists January 17, 2028 as the certificate expiration date; the certificate took effect January 18, 2026.

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