39D2248638 CLIA NUMBER - BRUNDAGE'S WAYMART PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2248638
  • Facility Name: BRUNDAGE'S WAYMART PHARMACY
  • Facility Address: 238 BELMONT ST
    WAYMART, PA
    ZIP 18472
  • Facility Phone: 570 488-7979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHAEL L. BRUNDAGE
  • NPI Number: 1609223197
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2248638
LAB Type Pharmacy
Facility Name BRUNDAGE'S WAYMART PHARMACY
Street 238 BELMONT ST
City WAYMART
State PA
ZIP 18472
Phone 570 488-7979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Pharmacy
Lab Director MICHAEL L. BRUNDAGE

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