39D2266408 CLIA NUMBER - GLADWYNE PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2266408
  • Facility Name: GLADWYNE PHARMACY
  • Facility Address: 352 RIGHTERS MILL ROAD
    GLADWYNE, PA
    ZIP 19035
  • Facility Phone: 610 649-1100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PERRY KOFFER
  • NPI Number: 1467559054
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2266408
LAB Type Pharmacy
Facility Name GLADWYNE PHARMACY
Street 352 RIGHTERS MILL ROAD
City GLADWYNE
State PA
ZIP 19035
Phone 610 649-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Pharmacy
Lab Director PERRY KOFFER

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