CLIA lab
CLIA 39D2235765: Pocono Community Pharmacy
Brodheadsville, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2235765 belongs to Pocono Community Pharmacy in Brodheadsville, PA.
Certificate of Waiver, effective September 13, 2025, expires September 12, 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
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2021
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D2235765
- Lab name
- Pocono Community Pharmacy
- Address
- 1656 Route 209, Brodheadsville, PA 18322
- Phone
- (570) 801-7886
- Fax
- (570) 801-7884
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 Brodheadsville, PA
- Blue MTN PediatricsCertificate of Waiver, Physician office39D2151016
- Brodheadsville Family PracticeCertificate of Waiver, Physician office39D0191663
- Frank G Romascavage DOCertificate of Waiver, Physician office39D0937482
- Jeffexpress West EndCertificate of Waiver, Other39D2179616
- Lvpg Family Medicine - West EndCertificate of Waiver, Physician office39D1016761
- Lvpg Ob/Gyn West EndCertificate of Waiver, Physician office39D1075794
- ST Luke's Care Now BrodheadsvilleCertificate of Waiver, Other39D2141138
- ST Lukes Cardiology AssociatesCertificate of Waiver, Physician office39D0996615
- Vhp-Pediatrics West EndCertificate of Waiver, Physician office39D2177898
Related
Questions
What is the CLIA number for Pocono Community Pharmacy in Brodheadsville?
39D2235765, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pocono Community Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2235765 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.