39D2250739 CLIA NUMBER - GIANT PHARMACY #6074

Laboratory Demographics

  • CLIA Code: 39D2250739
  • Facility Name: GIANT PHARMACY #6074
  • Facility Address: 3015 W EMMAUS AVENUE
    ALLENTOWN, PA
    ZIP 18103
  • Facility Phone: (610) 791-9588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ASHLEY L. MARTIRE
  • NPI Number: 1578595583
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2250739
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6074
Street 3015 W EMMAUS AVENUE
City ALLENTOWN
State PA
ZIP 18103
Phone 6107919588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2026
Certificate Expiration Date 1/27/2028
Facility Type Pharmacy
Lab Director ASHLEY L. MARTIRE

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This page was last updated on: 6/29/2026