CLIA lab

CLIA 39D2211720: Silver Lake Volunteer Rescue Squad

Brackney, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 39D2211720 belongs to Silver Lake Volunteer Rescue Squad in Brackney, PA.

Certificate of Waiver, effective January 29, 2025, expires January 28, 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
January 29, 2025
Certificate expiration
January 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 29, 2021
Facility type
Ambulance
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
39D2211720
Lab name
Silver Lake Volunteer Rescue Squad
Address
3417 Quaker Lake Rd, Brackney, PA 18812
Phone
(570) 663-2102
Fax
(570) 663-2888

Annual test volume the lab reported

Waived tests
50

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 Silver Lake Volunteer Rescue Squad in Brackney?

39D2211720, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Silver Lake Volunteer Rescue Squad hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2211720 expire?

The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.

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