39D2215750 CLIA NUMBER - BOOTHWYN APOTHECARY

Laboratory Demographics

  • CLIA Code: 39D2215750
  • Facility Name: BOOTHWYN APOTHECARY
  • Facility Address: 2341 CHICHESTER AVE
    BOOTHWYN, PA
    ZIP 19061
  • Facility Phone: 610 485-1130
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. ASHOK K. SUBRAMANIAN
  • NPI Number: 1699715086
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 39D2215750
LAB Type Pharmacy
Facility Name BOOTHWYN APOTHECARY
Street 2341 CHICHESTER AVE
City BOOTHWYN
State PA
ZIP 19061
Phone 610 485-1130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Pharmacy
Lab Director DR. ASHOK K. SUBRAMANIAN

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