39D0674518 CLIA NUMBER - WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Laboratory Demographics

  • CLIA Code: 39D0674518
  • Facility Name: WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
  • Facility Address: 626 PARK STREET
    HONESDALE, PA
    ZIP 18431
  • Facility Phone: 570 253-3005
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ERIC R. RITTENHOUSE
  • NPI Number: 1174974232
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D0674518
LAB Type Physician Office
Facility Name WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Street 626 PARK STREET
City HONESDALE
State PA
ZIP 18431
Phone 570 253-3005
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 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director DR. ERIC R. RITTENHOUSE

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