CLIA lab

CLIA 39D2319790: WR Grace Tyrone Medical Dept

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

CLIA number 39D2319790 belongs to WR Grace Tyrone Medical Dept in Tyrone, PA.

Certificate of Waiver, effective March 7, 2025, expires March 6, 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
March 7, 2025
Certificate expiration
March 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 7, 2025
Facility type
Industrial
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
39D2319790
Lab name
WR Grace Tyrone Medical Dept
Address
2858 Back Vail Road, Tyrone, PA 16686
Phone
(814) 684-7504
Fax
(814) 684-7534

Annual test volume the lab reported

Waived tests
100

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

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Questions

What is the CLIA number for WR Grace Tyrone Medical Dept in Tyrone?

39D2319790, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does WR Grace Tyrone Medical Dept hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2319790 expire?

The CMS file lists March 6, 2027 as the certificate expiration date; the certificate took effect March 7, 2025.

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