CLIA lab
CLIA 39D1064065: Ellen Memorial Rehab and Healthcare Center
Honesdale, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D1064065 belongs to Ellen Memorial Rehab and Healthcare Center in Honesdale, PA.
Certificate of Waiver, effective January 29, 2025, expires January 28, 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 29, 2025
- Certificate expiration
- January 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 2007
- 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
- 39D1064065
- Lab name
- Ellen Memorial Rehab and Healthcare Center
- Address
- 23 Ellen Memorial Lane, Honesdale, PA 18431
- Phone
- (570) 253-5690
- Fax
- (570) 253-9471
Annual test volume the lab reported
- Waived tests
- 18,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Ellen Memorial Rehabilitation and Healthcare CenteCMS Care Compare ratings for the facility at the same street address
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- 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
- Mountain Laurel Surgery CenterCertificate of Waiver, Ambulatory surgery center39D1057617
Related
Questions
What is the CLIA number for Ellen Memorial Rehab and Healthcare Center in Honesdale?
39D1064065, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ellen Memorial Rehab and Healthcare Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D1064065 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.