39D2160609 CLIA NUMBER - RXXPRESS HEALTH MART PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2160609
  • Facility Name: RXXPRESS HEALTH MART PHARMACY
  • Facility Address: 111 MILL ST
    GROVE CITY, PA
    ZIP 16127
  • Facility Phone: 724 458-8420
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN M. KAUP
  • NPI Number: 1306877782
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2160609
LAB Type Pharmacy
Facility Name RXXPRESS HEALTH MART PHARMACY
Street 111 MILL ST
City GROVE CITY
State PA
ZIP 16127
Phone 724 458-8420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Pharmacy
Lab Director JONATHAN M. KAUP

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