CLIA lab
CLIA 39D2167114: Gouldsboro Ambulance Squad, Inc
Gouldsboro, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2167114 belongs to Gouldsboro Ambulance Squad, Inc in Gouldsboro, PA.
Certificate of Waiver, effective June 3, 2025, expires June 2, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 3, 2025
- Certificate expiration
- June 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 3, 2019
- 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
- 39D2167114
- Lab name
- Gouldsboro Ambulance Squad, Inc
- Address
- 490 Main Street, Gouldsboro, PA 18424
- Phone
- (570) 842-4175
- Fax
- (570) 842-1516
Annual test volume the lab reported
- Waived tests
- 150
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 Gouldsboro Ambulance Squad, Inc in Gouldsboro?
39D2167114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gouldsboro Ambulance Squad, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2167114 expire?
The CMS file lists June 2, 2027 as the certificate expiration date; the certificate took effect June 3, 2025.