CLIA lab

CLIA 39D2169421: Tyson Foods, Inc

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

CLIA number 39D2169421 belongs to Tyson Foods, Inc in Pottsville, PA.

Certificate of Waiver, effective July 19, 2025, expires July 18, 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
July 19, 2025
Certificate expiration
July 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 19, 2019
Facility type
Other
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
39D2169421
Lab name
Tyson Foods, Inc
Additional name
Hillshire Brands Co - Pottsville, PA, the
Address
110 Keystone Blvd East, Pottsville, PA 17901
Phone
(570) 624-3437
Fax
(479) 717-8634

Annual test volume the lab reported

Waived tests
165

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

Other labs in Pottsville, PA

Related

Questions

What is the CLIA number for Tyson Foods, Inc in Pottsville?

39D2169421, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tyson Foods, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2169421 expire?

The CMS file lists July 18, 2027 as the certificate expiration date; the certificate took effect July 19, 2025.

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