39D2238028 CLIA NUMBER - POCONO COMMUNITY PHARMACY II

Laboratory Demographics

  • CLIA Code: 39D2238028
  • Facility Name: POCONO COMMUNITY PHARMACY II
  • Facility Address: 175 E BROWN STREET, SUITE 107
    EAST STROUDSBURG, PA
    ZIP 18301
  • Facility Phone: 570 664-8226
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTY TAYLOR
  • NPI Number: 1316417355
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2238028
LAB Type Pharmacy
Facility Name POCONO COMMUNITY PHARMACY II
Street 175 E BROWN STREET, SUITE 107
City EAST STROUDSBURG
State PA
ZIP 18301
Phone 570 664-8226
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Pharmacy
Lab Director CHRISTY TAYLOR

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