CLIA lab
CLIA 39D2169696: Charles Scrobola, MD
Edwardsville, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2169696 belongs to Charles Scrobola, MD in Edwardsville, PA.
Certificate of Waiver, effective August 2, 2026, expires August 1, 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
- August 2, 2026
- Certificate expiration
- August 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2169696
- Lab name
- Charles Scrobola, MD
- Address
- 490 Northampton St, Ste 1, Edwardsville, PA 18704
- Phone
- (570) 288-8100
- Fax
- (570) 714-2733
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Edwardsville, PA
- B Positive National Blood Svc-Wilkes Barre, LLCCertificate of Accreditation, Blood bank39D2274736
- Commonwealth Pain & Wellness CTRCertificate of Waiver, Physician office39D2129159
- Gateway Medical ServicesCertificate of Waiver, Physician office39D2131544
- Gateway Surgery Center LLCCertificate of Waiver, Ambulatory surgery center39D1067509
- Thomas P Saxton Medical PavillionCertificate of Waiver, Ancillary test site39D1059365
- Upmc-Gohealth Urgent Care - EdwardsvilleCertificate of Waiver, Other39D2025838
- Valley MedicalCertificate of Waiver, Other39D0193297
Related
Questions
What is the CLIA number for Charles Scrobola, MD in Edwardsville?
39D2169696, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Charles Scrobola, MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2169696 expire?
The CMS file lists August 1, 2028 as the certificate expiration date; the certificate took effect August 2, 2026.