39D2258919 CLIA NUMBER - LEBANON PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2258919
  • Facility Name: LEBANON PHARMACY
  • Facility Address: 990 ISABEL DR
    LEBANON, PA
    ZIP 17042
  • Facility Phone: 717 775-5108
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANILKUMAR N. PATEL
  • NPI Number: 1598356883
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2258919
LAB Type Pharmacy
Facility Name LEBANON PHARMACY
Street 990 ISABEL DR
City LEBANON
State PA
ZIP 17042
Phone 717 775-5108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Pharmacy
Lab Director ANILKUMAR N. PATEL

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