39D2215189 CLIA NUMBER - STEPHENS PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2215189
  • Facility Name: STEPHENS PHARMACY
  • Facility Address: 1101 MAIN ST
    HONESDALE, PA
    ZIP 18431
  • Facility Phone: 570 253-7770
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER A. STEPHENS
  • NPI Number: 1982603189
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2215189
LAB Type Pharmacy
Facility Name STEPHENS PHARMACY
Street 1101 MAIN ST
City HONESDALE
State PA
ZIP 18431
Phone 570 253-7770
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 HEATHER A. STEPHENS

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