CLIA lab

CLIA 39D2284074: ST Lukes Jim Thorpe Primary Care

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

CLIA number 39D2284074 belongs to ST Lukes Jim Thorpe Primary Care in Jim Thorpe, PA.

Certificate of Waiver, effective June 16, 2025, expires June 15, 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
June 16, 2025
Certificate expiration
June 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 16, 2023
Facility type
Physician office
Ownership (control type)
Other
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
39D2284074
Lab name
ST Lukes Jim Thorpe Primary Care
Address
1122 North Street, Jim Thorpe, PA 18229
Phone
(272) 639-5450
Fax
(833) 671-2930

Annual test volume the lab reported

Waived tests
1,000

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 ST Lukes Jim Thorpe Primary Care in Jim Thorpe?

39D2284074, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Lukes Jim Thorpe Primary Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2284074 expire?

The CMS file lists June 15, 2027 as the certificate expiration date; the certificate took effect June 16, 2025.

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