CLIA lab
CLIA 39D2171111: Edgewood Neurorestorative Pennsylvania
Lake City, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2171111 belongs to Edgewood Neurorestorative Pennsylvania in Lake City, PA.
Certificate of Waiver, effective August 27, 2025, expires August 26, 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
- August 27, 2025
- Certificate expiration
- August 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 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
- 39D2171111
- Lab name
- Edgewood Neurorestorative Pennsylvania
- Address
- 10589 N Edgewood Drive, Lake City, PA 16423
- Phone
- (814) 474-1977
- Fax
- (814) 474-4512
Annual test volume the lab reported
- Waived tests
- 250
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 Edgewood Neurorestorative Pennsylvania in Lake City?
39D2171111, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edgewood Neurorestorative Pennsylvania hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2171111 expire?
The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.