39D2257410 CLIA NUMBER - PETROLIA PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2257410
  • Facility Name: PETROLIA PHARMACY
  • Facility Address: 296 CHURCH STREET
    PETROLIA, PA
    ZIP 16050
  • Facility Phone: 724 588-6337
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW S. SHELLENBARGER
  • NPI Number: 1568750388
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2257410
LAB Type Pharmacy
Facility Name PETROLIA PHARMACY
Street 296 CHURCH STREET
City PETROLIA
State PA
ZIP 16050
Phone 724 588-6337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Pharmacy
Lab Director MATTHEW S. SHELLENBARGER

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