CLIA lab
CLIA 39D2289763: Hazleton Medical Practice, LLC
Hazleton, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2289763 belongs to Hazleton Medical Practice, LLC in Hazleton, PA.
Certificate of Waiver, effective September 15, 2025, expires September 14, 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
- September 15, 2025
- Certificate expiration
- September 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2023
- Facility type
- Other practitioner
- 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
- 39D2289763
- Lab name
- Hazleton Medical Practice, LLC
- Address
- 141 North Cedar St, Hazleton, PA 18201
- Phone
- (646) 284-8054
- Fax
- (570) 497-4420
Annual test volume the lab reported
- Waived tests
- 936
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aeo Hazle Township - Evernorth Direct HealthCertificate of Waiver, Physician office39D2235109
- All Care Home Care IncCertificate of Waiver, Home health agency39D0876362
- American Eagle - Hazleton, PACertificate of Waiver, Physician office39D2186643
- Bio Med Appls of HazletonCertificate of Waiver, End stage renal disease dialysis facility39D0663945
- Cargill Medical DepartmentCertificate of Waiver, Industrial39D1035231
- Caring Communities for Aids, IncCertificate for Provider-Performed Microscopy Procedures, Community clinic39D2125474
- Chiropractic & Rehab Associates, PCCertificate of Waiver, Other practitioner39D2219287
- Clearvision Health & WellnessCertificate of Waiver, Other39D2343950
- Community Care HazletonCertificate of Waiver, Federally qualified health center39D2172821
Related
Questions
What is the CLIA number for Hazleton Medical Practice, LLC in Hazleton?
39D2289763, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hazleton Medical Practice, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2289763 expire?
The CMS file lists September 14, 2027 as the certificate expiration date; the certificate took effect September 15, 2025.