CLIA lab

CLIA 39D0892557: Julia Ribaudo Extended Care Center

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

CLIA number 39D0892557 belongs to Julia Ribaudo Extended Care Center in Lake Ariel, PA.

Certificate of Waiver, effective January 14, 2025, expires January 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
January 14, 2025
Certificate expiration
January 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 3, 1994
Facility type
Skilled nursing or nursing 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
39D0892557
Lab name
Julia Ribaudo Extended Care Center
Address
1404 Golf Park Drive, Lake Ariel, PA 18436
Phone
(570) 698-5647
Fax
(570) 698-7742

Annual test volume the lab reported

Waived tests
1,500

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

Care facility at this address

Other labs in Lake Ariel, PA

Related

Questions

What is the CLIA number for Julia Ribaudo Extended Care Center in Lake Ariel?

39D0892557, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Julia Ribaudo Extended Care Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D0892557 expire?

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

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