CLIA lab

CLIA 39D2258334: Sullivan County LHC

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

CLIA number 39D2258334 belongs to Sullivan County LHC in Laporte, PA.

Certificate of Waiver, effective April 20, 2026, expires April 19, 2028.

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, 2026
Certificate expiration
April 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 20, 2022
Facility type
Federally qualified health center
Ownership (control type)
Other
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
39D2258334
Lab name
Sullivan County LHC
Address
217 King Street, Laporte, PA 18626
Phone
(570) 704-4651

Annual test volume the lab reported

Waived tests
3,600

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Laporte, PA

Related

Questions

What is the CLIA number for Sullivan County LHC in Laporte?

39D2258334, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sullivan County LHC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2258334 expire?

The CMS file lists April 19, 2028 as the certificate expiration date; the certificate took effect April 20, 2026.

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