CLIA lab
CLIA 39D2172453: Lvpg Fam & Internal Med - Tobyhanna
Tobyhanna, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2172453 belongs to Lvpg Fam & Internal Med - Tobyhanna in Tobyhanna, PA.
Certificate of Waiver, effective September 24, 2025, expires September 23, 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
- September 24, 2025
- Certificate expiration
- September 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2019
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 39D2172453
- Lab name
- Lvpg Fam & Internal Med - Tobyhanna
- Address
- 100 Community Drive, Suite 102, Tobyhanna, PA 18466
- Phone
- (570) 895-2300
- Fax
- (570) 895-4270
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- MT Pocono DialysisCertificate of Waiver, Other39D1007433
- Pocono Mountain Regional EMSCertificate of Waiver, Ambulance39D2136212
- ST Lukes Family Medicine TobyhannaCertificate of Waiver, Physician office39D2266402
- Tobyhanna OpcCertificate of Accreditation, Community clinic39D1038002
- Vhp-Pediatrics TobyhannaCertificate of Waiver, Physician office39D2168908
Related
Questions
What is the CLIA number for Lvpg Fam & Internal Med - Tobyhanna in Tobyhanna?
39D2172453, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lvpg Fam & Internal Med - Tobyhanna hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2172453 expire?
The CMS file lists September 23, 2027 as the certificate expiration date; the certificate took effect September 24, 2025.