39D2215186 CLIA NUMBER - THE MEDICINE SHOPPE 2057

Laboratory Demographics

  • CLIA Code: 39D2215186
  • Facility Name: THE MEDICINE SHOPPE 2057
  • Facility Address: 101 W LANCASTER AVE
    SHILLINGTON, PA
    ZIP 19607
  • Facility Phone: 610 777-2313
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PATEL D. DIPAK
  • NPI Number: 1609207299
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2215186
LAB Type Pharmacy
Facility Name THE MEDICINE SHOPPE 2057
Street 101 W LANCASTER AVE
City SHILLINGTON
State PA
ZIP 19607
Phone 610 777-2313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Pharmacy
Lab Director PATEL D. DIPAK

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