39D2205262 CLIA NUMBER - GIANT PHARMACY #6314

Laboratory Demographics

  • CLIA Code: 39D2205262
  • Facility Name: GIANT PHARMACY #6314
  • Facility Address: 216 EAST FAIRMOUNT ST
    COOPERSBURG, PA
    ZIP 18036
  • Facility Phone: 610 282-5880
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TAYLOR BRIDGES
  • NPI Number: 1528090545
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2205262
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6314
Street 216 EAST FAIRMOUNT ST
City COOPERSBURG
State PA
ZIP 18036
Phone 610 282-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Pharmacy
Lab Director TAYLOR BRIDGES

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