39D2191518 CLIA NUMBER - VALUE SPECIALTY PHARMACY, LLC

Laboratory Demographics

  • CLIA Code: 39D2191518
  • Facility Name: VALUE SPECIALTY PHARMACY, LLC
  • Facility Address: 4200 INDUSTRIAL PARK DR
    ALTOONA, PA
    ZIP 16602
  • Facility Phone: 855 265-8008
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. NICOLE M. HASSON
  • NPI Number: 1326403643
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2191518
LAB Type Pharmacy
Facility Name VALUE SPECIALTY PHARMACY, LLC
Street 4200 INDUSTRIAL PARK DR
City ALTOONA
State PA
ZIP 16602
Phone 855 265-8008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type Pharmacy
Lab Director DR. NICOLE M. HASSON

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