CLIA lab
CLIA 39D2266402: ST Lukes Family Medicine Tobyhanna
Tobyhanna, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2266402 belongs to ST Lukes Family Medicine Tobyhanna in Tobyhanna, PA.
Certificate of Waiver, effective August 10, 2026, expires August 9, 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
- August 10, 2026
- Certificate expiration
- August 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 10, 2022
- Facility type
- Physician office
- 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
- 39D2266402
- Lab name
- ST Lukes Family Medicine Tobyhanna
- Address
- 354 Memorial Blvd, Tobyhanna, PA 18466
- Phone
- (272) 639-5461
- Fax
- (833) 679-5464
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- MT Pocono DialysisCertificate of Waiver, Other39D1007433
- Pocono Mountain Regional EMSCertificate of Waiver, Ambulance39D2136212
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Related
Questions
What is the CLIA number for ST Lukes Family Medicine Tobyhanna in Tobyhanna?
39D2266402, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Lukes Family Medicine Tobyhanna hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2266402 expire?
The CMS file lists August 9, 2028 as the certificate expiration date; the certificate took effect August 10, 2026.