39D2241143 CLIA NUMBER - DELUXE DRUG STORES LLC

Laboratory Demographics

  • CLIA Code: 39D2241143
  • Facility Name: DELUXE DRUG STORES LLC
  • Facility Address: 8749 FRANKFORD AVE
    PHILADELPHIA, PA
    ZIP 19136
  • Facility Phone: 215 941-7689
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VENKATA BALUMURI
  • NPI Number: 1629384979
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2241143
LAB Type Pharmacy
Facility Name DELUXE DRUG STORES LLC
Street 8749 FRANKFORD AVE
City PHILADELPHIA
State PA
ZIP 19136
Phone 215 941-7689
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Pharmacy
Lab Director VENKATA BALUMURI

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