39D2288489 CLIA NUMBER - SUNRAY DRUGS 52ND STREET

Laboratory Demographics

  • CLIA Code: 39D2288489
  • Facility Name: SUNRAY DRUGS 52ND STREET
  • Facility Address: 142 S 52ND STREET
    PHILADELPHIA, PA
    ZIP 19139
  • Facility Phone: 215 474-4615
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MICHELLE M. JEON
  • NPI Number: 1437170875
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2288489
LAB Type Pharmacy
Facility Name SUNRAY DRUGS 52ND STREET
Street 142 S 52ND STREET
City PHILADELPHIA
State PA
ZIP 19139
Phone 215 474-4615
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 MICHELLE M. JEON

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