39D2288439 CLIA NUMBER - NEW STANTON PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2288439
  • Facility Name: NEW STANTON PHARMACY
  • Facility Address: 144 POST AVENUE
    NEW STANTON, PA
    ZIP 15672
  • Facility Phone: 724 925-9810
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHANE J. DAUGHERTY
  • NPI Number: 1679656623
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2288439
LAB Type Pharmacy
Facility Name NEW STANTON PHARMACY
Street 144 POST AVENUE
City NEW STANTON
State PA
ZIP 15672
Phone 724 925-9810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Pharmacy
Lab Director SHANE J. DAUGHERTY

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