39D2206933 CLIA NUMBER - PERRY DRUG STORE, LLC

Laboratory Demographics

  • CLIA Code: 39D2206933
  • Facility Name: PERRY DRUG STORE, LLC
  • Facility Address: 301 INDEPENDENCE STREET
    PERRYOPOLIS, PA
    ZIP 15473
  • Facility Phone: 724 736-4422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS HAWRANKO
  • NPI Number: 1831778901
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2206933
LAB Type Pharmacy
Facility Name PERRY DRUG STORE, LLC
Street 301 INDEPENDENCE STREET
City PERRYOPOLIS
State PA
ZIP 15473
Phone 724 736-4422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Pharmacy
Lab Director NICHOLAS HAWRANKO

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