39D2232428 CLIA NUMBER - PARKWAY PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2232428
  • Facility Name: PARKWAY PHARMACY
  • Facility Address: 2401 PENNSYLVANIA AVE
    PHILADELPHIA, PA
    ZIP 19130
  • Facility Phone: 215 642-2422
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DENNIS M. CZERW
  • NPI Number: 1295355428
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2232428
LAB Type Pharmacy
Facility Name PARKWAY PHARMACY
Street 2401 PENNSYLVANIA AVE
City PHILADELPHIA
State PA
ZIP 19130
Phone 215 642-2422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Pharmacy
Lab Director DENNIS M. CZERW

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