39D2250741 CLIA NUMBER - GIANT PHARMACY #6046

Laboratory Demographics

  • CLIA Code: 39D2250741
  • Facility Name: GIANT PHARMACY #6046
  • Facility Address: 2721 STREET ROAD
    BENSALEM, PA
    ZIP 19020
  • Facility Phone: 215 604-1390
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATIE J. RUTTER
  • NPI Number: 1629000641
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2250741
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6046
Street 2721 STREET ROAD
City BENSALEM
State PA
ZIP 19020
Phone 215 604-1390
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 KATIE J. RUTTER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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