CLIA lab

CLIA 39D2167165: Family Recovery, LLC Applegate Recovery Mansfield

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

CLIA number 39D2167165 belongs to Family Recovery, LLC Applegate Recovery Mansfield in Mansfield, PA.

Certificate of Waiver, effective June 4, 2025, expires June 3, 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
June 4, 2025
Certificate expiration
June 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 4, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
39D2167165
Lab name
Family Recovery, LLC Applegate Recovery Mansfield
Address
2418 South Main Street, Mansfield, PA 16933
Phone
(570) 505-3180
Fax
(570) 505-3184

Annual test volume the lab reported

Waived tests
6,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Mansfield, PA

Related

Questions

What is the CLIA number for Family Recovery, LLC Applegate Recovery Mansfield in Mansfield?

39D2167165, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Family Recovery, LLC Applegate Recovery Mansfield hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2167165 expire?

The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.

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