39D2241811 CLIA NUMBER - MT BETHEL PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2241811
  • Facility Name: MT BETHEL PHARMACY
  • Facility Address: 2165 MT BETHEL HIGHWAY
    MOUNT BETHEL, PA
    ZIP 18343
  • Facility Phone: 570 583-2027
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTY TAYLOR
  • NPI Number: 1619530508
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2241811
LAB Type Pharmacy
Facility Name MT BETHEL PHARMACY
Street 2165 MT BETHEL HIGHWAY
City MOUNT BETHEL
State PA
ZIP 18343
Phone 570 583-2027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Pharmacy
Lab Director CHRISTY TAYLOR

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