LAKE ARIEL FAMILY HEALTH CENTER
NPI 1174974232
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Ariel, PA
About Lake Ariel Family Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE ARIEL FAMILY HEALTH CENTER (NPI 1174974232) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Ariel, Pennsylvania and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through November 26, 2027 and lists Teresa Lacey, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D0909154
Lake Ariel Family Health Center · Lake Ariel, PAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wayne Memorial Community Health Centers's NPI number?
The NPI number for Wayne Memorial Community Health Centers is 1174974232. It was assigned to this organization in the NPPES registry on June 29, 2016. The provider is also known as Lake Ariel Family Health Center.
Where is Wayne Memorial Community Health Centers located?
Wayne Memorial Community Health Centers is located at 358 Hamlin Hwy, Lake Ariel, PA 18436. The listed phone number is (570) 689-9965.
What is Wayne Memorial Community Health Centers's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Does Wayne Memorial Community Health Centers hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0909154) is associated with this NPI, valid through November 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wayne Memorial Community Health Centers was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lake Ariel Family Health Center · NPI 1174974232
Federally Qualified Health Center (FQHC) organization in Lake Ariel, Pennsylvania. Organization record, active in the CMS NPPES registry since June 29, 2016.
## Identity
- **NPI:** 1174974232 (Entity type: Organization)
- **Enumerated:** June 29, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Wayne Memorial Community Health Centers
- **Organization subpart:** No
- **Authorized official:** Teresa Lacey, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 358 HAMLIN HWY, Lake Ariel, PA 18436-9382
- **Phone:** (570) 689-9965
## Record status
- **NPPES last updated:** January 16, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174974232) · Data from the CMS NPPES public registry.