39D2248874 CLIA NUMBER - WOODLYN PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2248874
  • Facility Name: WOODLYN PHARMACY
  • Facility Address: 1301 JEFFERSON AVENUE
    WOODLYN, PA
    ZIP 19094
  • Facility Phone: 610 833-5600
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HUMA F. GHAURI
  • NPI Number: 1124064613
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2248874
LAB Type Pharmacy
Facility Name WOODLYN PHARMACY
Street 1301 JEFFERSON AVENUE
City WOODLYN
State PA
ZIP 19094
Phone 610 833-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Pharmacy
Lab Director HUMA F. GHAURI

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