CLIA lab
CLIA 39D1041500: Eden Park Pediatrics - Ephrata
Ephrata, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1041500 belongs to Eden Park Pediatrics - Ephrata in Ephrata, PA.
Certificate of Waiver, effective June 6, 2025, expires June 5, 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
- June 6, 2025
- Certificate expiration
- June 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 6, 2005
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 39D1041500
- Lab name
- Eden Park Pediatrics - Ephrata
- Address
- 4221 Oregon Pike, Ephrata, PA 17522
- Phone
- (717) 569-8518
- Fax
- (717) 569-3903
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.
Affiliated CLIA numbers
Other labs in Ephrata, PA
- Ars of Ephrata, LLCCertificate of Waiver, Other39D2174448
- Cardiac RehabilitationCertificate of Waiver, Comprehensive outpatient rehab facility39D1030107
- Center for Wound Healing & Hyperbaric SrvsCertificate of Waiver, Community clinic39D1065900
- Concentra-EphrataCertificate of Waiver, Physician office39D2271615
- DR Giuseppe LancellottiCertificate of Waiver, Physician office39D0864961
- Dermatology Physicians IncCertificate of Compliance, Physician office39D0673424
- Ephrata Community Ambulance AssociationCertificate of Waiver, Ambulance39D2136774
- Ephrata Community HospitalCertificate of Accreditation, Hospital39D0012006
- Ephrata ManorCertificate of Waiver, Skilled nursing or nursing facility39D0886019
- Fairmount HomesCertificate of Waiver, Skilled nursing or nursing facility39D0657380
Related
Questions
What is the CLIA number for Eden Park Pediatrics - Ephrata in Ephrata?
39D1041500, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eden Park Pediatrics - Ephrata hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1041500 expire?
The CMS file lists June 5, 2027 as the certificate expiration date; the certificate took effect June 6, 2025.