39D2210789 CLIA NUMBER - DEPIETRO'S PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2210789
  • Facility Name: DEPIETRO'S PHARMACY
  • Facility Address: 617 3RD STREET
    DUNMORE, PA
    ZIP 18512
  • Facility Phone: 570 209-7440
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: THOMAS R. DEPIETRO
  • NPI Number: 1922657931
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2210789
LAB Type Pharmacy
Facility Name DEPIETRO'S PHARMACY
Street 617 3RD STREET
City DUNMORE
State PA
ZIP 18512
Phone 570 209-7440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Pharmacy
Lab Director THOMAS R. DEPIETRO

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