39D2281748 CLIA NUMBER - JOHNSONS PHARMACY OF HAZLETON

Laboratory Demographics

  • CLIA Code: 39D2281748
  • Facility Name: JOHNSONS PHARMACY OF HAZLETON
  • Facility Address: 901 W 15TH ST
    HAZLETON, PA
    ZIP 18201
  • Facility Phone: 570 455-5884
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROBERT J. HINKLE
  • NPI Number: 1487339719
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2281748
LAB Type Pharmacy
Facility Name JOHNSONS PHARMACY OF HAZLETON
Street 901 W 15TH ST
City HAZLETON
State PA
ZIP 18201
Phone 570 455-5884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director ROBERT J. HINKLE

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