39D2209788 CLIA NUMBER - THE MEDICINE SHOPPE

Laboratory Demographics

  • CLIA Code: 39D2209788
  • Facility Name: THE MEDICINE SHOPPE
  • Facility Address: 1000 MARKET STREET
    BLOOMSBURG, PA
    ZIP 17815
  • Facility Phone: 570 204-6494
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JENNIFER SELTZER
  • NPI Number: 1144565847
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2209788
LAB Type Pharmacy
Facility Name THE MEDICINE SHOPPE
Street 1000 MARKET STREET
City BLOOMSBURG
State PA
ZIP 17815
Phone 570 204-6494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Pharmacy
Lab Director JENNIFER SELTZER

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