39D2243632 CLIA NUMBER - GAUGHN'S DRUG STORE

Laboratory Demographics

  • CLIA Code: 39D2243632
  • Facility Name: GAUGHN'S DRUG STORE
  • Facility Address: 348 PENNSYLVANIA AVENUE WEST
    WARREN, PA
    ZIP 16365
  • Facility Phone: 814 723-2840
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN S. NEWTON
  • NPI Number: 1013940600
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2243632
LAB Type Pharmacy
Facility Name GAUGHN'S DRUG STORE
Street 348 PENNSYLVANIA AVENUE WEST
City WARREN
State PA
ZIP 16365
Phone 814 723-2840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Pharmacy
Lab Director JOHN S. NEWTON

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