CLIA lab
CLIA 39D2348566: Provive Wellness Scranton LLC
Scranton, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2348566 belongs to Provive Wellness Scranton LLC in Scranton, PA.
Certificate of Waiver, effective August 7, 2026, expires August 6, 2028.
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
- August 7, 2026
- Certificate expiration
- August 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 7, 2026
- Facility type
- Comprehensive outpatient rehab facility
- 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
- 39D2348566
- Lab name
- Provive Wellness Scranton LLC
- Address
- 1123 Capouse Ave, Scranton, PA 18509
- Phone
- (570) 600-5338
- Fax
- (570) 221-9026
Annual test volume the lab reported
- Waived tests
- 300
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 Provive Wellness Scranton LLC in Scranton?
39D2348566, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Provive Wellness Scranton LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2348566 expire?
The CMS file lists August 6, 2028 as the certificate expiration date; the certificate took effect August 7, 2026.