39D2186638 CLIA NUMBER - GIANT PHARMACY #6284

Laboratory Demographics

  • CLIA Code: 39D2186638
  • Facility Name: GIANT PHARMACY #6284
  • Facility Address: 1824 RIDGE PK
    LINFIELD, PA
    ZIP 19468
  • Facility Phone: 610 831-5805
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY C. KAYLOR
  • NPI Number: 1427080449
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2186638
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6284
Street 1824 RIDGE PK
City LINFIELD
State PA
ZIP 19468
Phone 610 831-5805
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Pharmacy
Lab Director TIMOTHY C. KAYLOR

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