CLIA lab
CLIA 39D2196728: Cleanslate Centers
Mansfield, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2196728 belongs to Cleanslate Centers in Mansfield, PA.
Certificate of Waiver, effective October 20, 2026, expires October 19, 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
- October 20, 2026
- Certificate expiration
- October 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 2020
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2196728
- Lab name
- Cleanslate Centers
- Address
- 91 South Main Street, Mansfield, PA 16933
- Phone
- (413) 584-2173
- Fax
- (413) 322-9089
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.
Affiliated CLIA numbers
Other labs in Mansfield, PA
- Family Recovery, LLC Applegate Recovery MansfieldCertificate of Waiver, Physician office39D2167165
- Guthrie Medical Group - Mansfield UnivCertificate for Provider-Performed Microscopy Procedures, Other practitioner39D0662649
- Heart of TiogaCertificate of Waiver, Community clinic39D2212734
- Laurel Health Center - MansfieldCertificate of Waiver, Federally qualified health center39D2251778
- Laurel Health Wellness CenterCertificate of Waiver, Federally qualified health center39D2170184
- Mansfield Firemen's Ambulance Association, IncCertificate of Waiver, Ambulance39D2218586
- Shmg Specialty ClinicCertificate of Waiver, Physician office39D2119444
Related
Questions
What is the CLIA number for Cleanslate Centers in Mansfield?
39D2196728, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cleanslate Centers hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2196728 expire?
The CMS file lists October 19, 2028 as the certificate expiration date; the certificate took effect October 20, 2026.