CLIA lab
CLIA 39D2321107: Tri Town Ambulance Assoc Inc
Ulysses, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2321107 belongs to Tri Town Ambulance Assoc Inc in Ulysses, PA.
Certificate of Waiver, effective March 31, 2025, expires March 30, 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 31, 2025
- Certificate expiration
- March 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 31, 2025
- Facility type
- Ambulance
- 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
- 39D2321107
- Lab name
- Tri Town Ambulance Assoc Inc
- Address
- 810 St Rt 49 W, Ulysses, PA 16948
- Phone
- (814) 848-9905
- Fax
- (814) 848-7411
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.
Related
Questions
What is the CLIA number for Tri Town Ambulance Assoc Inc in Ulysses?
39D2321107, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tri Town Ambulance Assoc Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2321107 expire?
The CMS file lists March 30, 2027 as the certificate expiration date; the certificate took effect March 31, 2025.