CLIA lab

CLIA 39D2159483: Mount Nittany Medical Center Blue Course

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

CLIA number 39D2159483 belongs to Mount Nittany Medical Center Blue Course in State College, PA.

Certificate of Waiver, effective December 19, 2024, expires December 18, 2026.

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
December 19, 2024
Certificate expiration
December 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 19, 2018
Facility type
Ancillary test site
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
39D2159483
Lab name
Mount Nittany Medical Center Blue Course
Address
1700 Old Galesburg Road, Suite 100, State College, PA 16803
Phone
(814) 278-4698
Fax
(814) 308-8252

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.

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Related

Questions

What is the CLIA number for Mount Nittany Medical Center Blue Course in State College?

39D2159483, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mount Nittany Medical Center Blue Course hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2159483 expire?

The CMS file lists December 18, 2026 as the certificate expiration date; the certificate took effect December 19, 2024.

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