39D2235765 CLIA NUMBER - POCONO COMMUNITY PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2235765
  • Facility Name: POCONO COMMUNITY PHARMACY
  • Facility Address: 1656 ROUTE 209
    BRODHEADSVILLE, PA
    ZIP 18322
  • Facility Phone: 570 801-7886
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTY L. TAYLOR
  • NPI Number: 1629580311
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2235765
LAB Type Pharmacy
Facility Name POCONO COMMUNITY PHARMACY
Street 1656 ROUTE 209
City BRODHEADSVILLE
State PA
ZIP 18322
Phone 570 801-7886
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Pharmacy
Lab Director CHRISTY L. TAYLOR

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