CLIA lab
CLIA 39D2171115: Primary Health Network Ellwood City Primary Care
Ellwood City, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2171115 belongs to Primary Health Network Ellwood City Primary Care in Ellwood 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
- Federally qualified health center
- 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
- 39D2171115
- Lab name
- Primary Health Network Ellwood City Primary Care
- Address
- 304 Evans Drive, Suite 401, Ellwood City, PA 16117
- Phone
- (724) 824-8185
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ellwood City, PA
- Ahn-Ellwood City Primary CareCertificate of Waiver, Physician office39D0182828
- Apple Occupational Medical Services, LLCCertificate of Waiver, Community clinic39D2050535
- BHS Primary Care, Ellwood CityCertificate of Waiver, Physician office39D2181626
- Cvs/Pharmacy #05710Certificate of Waiver, Pharmacy39D2283334
- Ellwood Group Clinic Mobile Medical CorporationCertificate of Waiver, Other39D2177027
- Freedom Healthcare ServicesCertificate of Waiver, Other39D2133614
- Heritage Valley ConvenientcareCertificate of Waiver, Community clinic39D2050528
- Hvmg Primary Care Ellwood CityCertificate of Waiver, Physician office39D2095768
- Larry Dolter D CCertificate of Waiver, Other practitioner39D2136711
- PA Medical TransportCertificate of Waiver, Ambulance39D1092507
Related
Questions
What is the CLIA number for Primary Health Network Ellwood City Primary Care in Ellwood City?
39D2171115, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Primary Health Network Ellwood City Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2171115 expire?
The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.