CLIA lab

CLIA 39D2291691: Lakota Family Practice

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

CLIA number 39D2291691 belongs to Lakota Family Practice in Hawley, PA.

Certificate of Waiver, effective October 14, 2025, expires October 13, 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
October 14, 2025
Certificate expiration
October 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 2023
Facility type
Other practitioner
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
39D2291691
Lab name
Lakota Family Practice
Address
702 Church Street, Hawley, PA 18428
Phone
(272) 336-0101
Fax
(272) 336-0102

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Hawley, PA

Related

Questions

What is the CLIA number for Lakota Family Practice in Hawley?

39D2291691, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lakota Family Practice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2291691 expire?

The CMS file lists October 13, 2027 as the certificate expiration date; the certificate took effect October 14, 2025.

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