CLIA lab
CLIA 39D2271610: Pine Creek Family Medicine
Jersey Shore, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2271610 belongs to Pine Creek Family Medicine in Jersey Shore, PA.
Certificate of Waiver, effective November 4, 2024, expires November 3, 2026.
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
- November 4, 2024
- Certificate expiration
- November 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 4, 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
- 39D2271610
- Lab name
- Pine Creek Family Medicine
- Address
- 345 E Central Ave, Jersey Shore, PA 17740
- Phone
- (570) 873-3571
- Fax
- (570) 873-3572
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.
Other labs in Jersey Shore, PA
- Citizens Hose Co of Jersey Shore (Jsa EMS)Certificate of Waiver, Ambulance39D1105974
- Geisinger Jersey Shore ClinicCertificate of Waiver, Physician office39D2180574
- Geisinger Jersey Shore Hosp - POCTCertificate of Waiver, Hospital39D2156147
- Geisinger Jersey Shore HospitalCertificate of Accreditation, Hospital39D0188969
- Jersey Shore Skilled NSG & RehabCertificate of Waiver, Skilled nursing or nursing facility39D0674340
Related
Questions
What is the CLIA number for Pine Creek Family Medicine in Jersey Shore?
39D2271610, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Creek Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2271610 expire?
The CMS file lists November 3, 2026 as the certificate expiration date; the certificate took effect November 4, 2024.