CLIA lab

CLIA 39D2049688: Little Creek Lodge

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

CLIA number 39D2049688 belongs to Little Creek Lodge in Lake Ariel, PA.

Certificate of Waiver, effective November 13, 2024, expires November 12, 2026.

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
November 13, 2024
Certificate expiration
November 12, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 13, 2012
Facility type
Other
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
39D2049688
Lab name
Little Creek Lodge
Address
359 Easton Turnpike, Lake Ariel, PA 18436
Phone
(570) 689-2644
Fax
(570) 689-2744

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.

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Questions

What is the CLIA number for Little Creek Lodge in Lake Ariel?

39D2049688, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Little Creek Lodge hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 39D2049688 expire?

The CMS file lists November 12, 2026 as the certificate expiration date; the certificate took effect November 13, 2024.

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