39D0192057 CLIA NUMBER - HIGHLAND PHYSICIANS FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 39D0192057
  • Facility Name: HIGHLAND PHYSICIANS FAMILY HEALTH CENTER
  • Facility Address: 1839 FAIR AVENUE
    HONESDALE, PA
    ZIP 18431
  • Facility Phone: 717 253-1205
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PAULA R. BENNETT
  • NPI Number: 1366595803
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D0192057
LAB Type Physician Office
Facility Name HIGHLAND PHYSICIANS FAMILY HEALTH CENTER
Street 1839 FAIR AVENUE
City HONESDALE
State PA
ZIP 18431
Phone 717 253-1205
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director DR. PAULA R. BENNETT

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025