39D0892557 CLIA NUMBER - JULIA RIBAUDO EXTENDED CARE CENTER

Laboratory Demographics

  • CLIA Code: 39D0892557
  • Facility Name: JULIA RIBAUDO EXTENDED CARE CENTER
  • Facility Address: 1404 GOLF PARK DRIVE
    LAKE ARIEL, PA
    ZIP 18436
  • Facility Phone: 570 698-5647
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. PATRICK MURNIN MD
  • NPI Number: 1336142652
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 39D0892557
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JULIA RIBAUDO EXTENDED CARE CENTER
Street 1404 GOLF PARK DRIVE
City LAKE ARIEL
State PA
ZIP 18436
Phone 570 698-5647
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. PATRICK MURNIN MD

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