39D2267611 CLIA NUMBER - SOUTHERN CHESTER COUNTY PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2267611
  • Facility Name: SOUTHERN CHESTER COUNTY PHARMACY
  • Facility Address: 1011 WEST BALTIMORE PIKE SUITE 109 & SUITE 110
    WEST GROVE, PA
    ZIP 19390
  • Facility Phone: 610 869-3200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALFRED G. GAGLIARDI
  • NPI Number: 1124062088
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2267611
LAB Type Pharmacy
Facility Name SOUTHERN CHESTER COUNTY PHARMACY
Street 1011 WEST BALTIMORE PIKE SUITE 109 & SUITE 110
City WEST GROVE
State PA
ZIP 19390
Phone 610 869-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Pharmacy
Lab Director ALFRED G. GAGLIARDI

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