CLIA lab
CLIA 39D1057617: Mountain Laurel Surgery Center
Honesdale, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1057617 belongs to Mountain Laurel Surgery Center in Honesdale, PA.
Certificate of Waiver, effective August 17, 2026, expires August 16, 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 17, 2026
- Certificate expiration
- August 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2006
- Facility type
- Ambulatory surgery center
- 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
- 39D1057617
- Lab name
- Mountain Laurel Surgery Center
- Address
- 1860 Fair Avenue Suite B, Honesdale, PA 18431
- Phone
- (570) 253-3391
- Fax
- (570) 253-1811
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Camp MoshavaCertificate of Waiver, Other39D2218581
- Camp TowandaCertificate of Waiver, Other39D2222053
- Ellen Memorial Rehab and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility39D1064065
- Family Eye Care of Nepa, PCCertificate of Waiver, Physician office39D2096677
- Highland Physicians Family Health CenterCertificate for Provider-Performed Microscopy Procedures, Physician office39D0192057
- Honesdale Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility39D0907210
- Honesdale Family Health CenterCertificate of Waiver, Federally qualified health center39D1101003
- Honesdale Pediatric CenterCertificate of Waiver, Physician office39D0714542
- Lake Region Urgent CareCertificate of Waiver, Physician office39D1037109
Related
Questions
What is the CLIA number for Mountain Laurel Surgery Center in Honesdale?
39D1057617, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountain Laurel Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1057617 expire?
The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.