39D2250728 CLIA NUMBER - GIANT PHARMACY #6335

Laboratory Demographics

  • CLIA Code: 39D2250728
  • Facility Name: GIANT PHARMACY #6335
  • Facility Address: 2651 MACARTHUR COMMONS
    WHITEHALL, PA
    ZIP 18052
  • Facility Phone: 484 245-0084
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGAN D. GORDON
  • NPI Number: 1609808625
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2250728
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6335
Street 2651 MACARTHUR COMMONS
City WHITEHALL
State PA
ZIP 18052
Phone 484 245-0084
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Pharmacy
Lab Director MEGAN D. GORDON

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