CLIA lab
CLIA 39D2053280: Pocono Mountain Recovery Center
Henryville, PA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 39D2053280 belongs to Pocono Mountain Recovery Center in Henryville, 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, 2013
- 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
- 39D2053280
- Lab name
- Pocono Mountain Recovery Center
- Address
- 3437 Route 715, Henryville, PA 18332
- Phone
- (866) 201-8677
- Fax
- (561) 894-8685
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Pocono Mountain Recovery Center in Henryville?
39D2053280, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pocono Mountain Recovery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 39D2053280 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.