CLIA lab
CLIA 39D2207475: Pike County Correctional Facility
Lords Valley, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2207475 belongs to Pike County Correctional Facility in Lords Valley, PA.
Certificate of Waiver, effective December 29, 2024, expires December 28, 2026.
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
- December 29, 2024
- Certificate expiration
- December 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 2020
- Facility type
- Prison
- 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
- 39D2207475
- Lab name
- Pike County Correctional Facility
- Address
- 175 Pike Counry Blvd, Lords Valley, PA 18428
- Phone
- (570) 775-5500
- Fax
- (570) 775-5509
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Pike County Correctional Facility in Lords Valley?
39D2207475, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pike County Correctional Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2207475 expire?
The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.