39D2209792 CLIA NUMBER - SMITHS PHARMACY III, INC

Laboratory Demographics

  • CLIA Code: 39D2209792
  • Facility Name: SMITHS PHARMACY III, INC
  • Facility Address: 133 W HUNTING PARK AVE
    PHILADELPHIA, PA
    ZIP 19140
  • Facility Phone: 215 324-5100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID B. SMITH
  • NPI Number: 1619217684
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2209792
LAB Type Pharmacy
Facility Name SMITHS PHARMACY III, INC
Street 133 W HUNTING PARK AVE
City PHILADELPHIA
State PA
ZIP 19140
Phone 215 324-5100
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 DAVID B. SMITH

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