39D2186640 CLIA NUMBER - GIANT PHARMACY #6023

Laboratory Demographics

  • CLIA Code: 39D2186640
  • Facility Name: GIANT PHARMACY #6023
  • Facility Address: 700 NUTT RD
    PHOENIXVILLE, PA
    ZIP 19460
  • Facility Phone: 610 917-9310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY C. KAYLOR
  • NPI Number: 1275565293
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2186640
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6023
Street 700 NUTT RD
City PHOENIXVILLE
State PA
ZIP 19460
Phone 610 917-9310
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

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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