CLIA lab

CLIA 39D2221164: Brookdale Grandon Farms

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

CLIA number 39D2221164 belongs to Brookdale Grandon Farms in Mechanicsburg, PA.

Certificate of Waiver, effective April 20, 2025, expires April 19, 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
April 20, 2025
Certificate expiration
April 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 20, 2021
Facility type
Assisted living facility
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
39D2221164
Lab name
Brookdale Grandon Farms
Address
1100 Grandon Way, Mechanicsburg, PA 17050
Phone
(717) 730-4033

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.

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Questions

What is the CLIA number for Brookdale Grandon Farms in Mechanicsburg?

39D2221164, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale Grandon Farms hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2221164 expire?

The CMS file lists April 19, 2027 as the certificate expiration date; the certificate took effect April 20, 2025.

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