CLIA lab
CLIA 39D2272002: Addison of Mccullough Place, the
Johnstown, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2272002 belongs to Addison of Mccullough Place, the in Johnstown, PA.
Certificate of Waiver, effective November 14, 2024, expires November 13, 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 14, 2024
- Certificate expiration
- November 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 2022
- Facility type
- Other
- 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
- 39D2272002
- Lab name
- Addison of Mccullough Place, the
- Address
- 500 Cheney Oak Dr, Johnstown, PA 15905
- Phone
- (814) 255-2213
- Fax
- (814) 255-2777
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Addison of Mccullough Place, the in Johnstown?
39D2272002, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Addison of Mccullough Place, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2272002 expire?
The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.