CLIA lab
CLIA 39D2216554: Brookdale Bloomsburg
Bloomsburg, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2216554 belongs to Brookdale Bloomsburg in Bloomsburg, PA.
Certificate of Waiver, effective March 15, 2025, expires March 14, 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
- March 15, 2025
- Certificate expiration
- March 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 2021
- Facility type
- Assisted living facility
- 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
- 39D2216554
- Lab name
- Brookdale Bloomsburg
- Address
- 420 Shaffer Road, Bloomsburg, PA 17815
- Phone
- (570) 387-6868
- Fax
- (570) 387-6844
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bloomsburg, PA
- Bayada Home Health Care IncCertificate of Waiver, Home health agency39D1052818
- Bloomsburg Univ of PA Stu Hlth CTRCertificate for Provider-Performed Microscopy Procedures, School or student health service39D1090783
- Columbia CbocCertificate of Waiver, Physician office39D2185684
- Convenientcare BuckhornCertificate of Waiver, Rural health clinic39D2286254
- Family Care Home Health, LLCCertificate of Waiver, Home health agency39D2132260
- Family Practice Center, PC BloomsburgCertificate of Waiver, Physician office39D2269779
- Geisinger Bloomsburg BuckhornCertificate of Waiver, Other39D0189199
- Geisinger Bloomsburg E 1st STCertificate of Waiver, Physician office39D0878576
- Geisinger Bloomsburg Glenn AveCertificate of Waiver, Physician office39D2057288
- Geisinger Bloomsburg Hosp - POCTCertificate of Waiver, Hospital39D2091663
Related
Questions
What is the CLIA number for Brookdale Bloomsburg in Bloomsburg?
39D2216554, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookdale Bloomsburg hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2216554 expire?
The CMS file lists March 14, 2027 as the certificate expiration date; the certificate took effect March 15, 2025.