39D2210137 CLIA NUMBER - JAMESTOWN PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2210137
  • Facility Name: JAMESTOWN PHARMACY
  • Facility Address: 121 LIBERTY STREET
    JAMESTOWN, PA
    ZIP 16134
  • Facility Phone: 724 588-6337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KYLEE A. LEWIS
  • NPI Number: 1841333861
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D2210137
LAB Type Pharmacy
Facility Name JAMESTOWN PHARMACY
Street 121 LIBERTY STREET
City JAMESTOWN
State PA
ZIP 16134
Phone 724 588-6337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Pharmacy
Lab Director KYLEE A. LEWIS

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