39D2250733 CLIA NUMBER - GIANT PHARMACY #6313

Laboratory Demographics

  • CLIA Code: 39D2250733
  • Facility Name: GIANT PHARMACY #6313
  • Facility Address: 2174 WEST UNION BOULEVARD
    BETHLEHEM, PA
    ZIP 18018
  • Facility Phone: 610 691-2845
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARC LUONG
  • NPI Number: 1548292550
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2250733
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6313
Street 2174 WEST UNION BOULEVARD
City BETHLEHEM
State PA
ZIP 18018
Phone 610 691-2845
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 MARC LUONG

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