39D2292245 CLIA NUMBER - GIANT PHARMACY #6442

Laboratory Demographics

  • CLIA Code: 39D2292245
  • Facility Name: GIANT PHARMACY #6442
  • Facility Address: 116 W TOWNSHIP LINE ROAD, UNIT 100
    HAVERTOWN, PA
    ZIP 19083
  • Facility Phone: 610 449-1414
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN N. MOSER III
  • NPI Number: 1730429721
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2292245
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6442
Street 116 W TOWNSHIP LINE ROAD, UNIT 100
City HAVERTOWN
State PA
ZIP 19083
Phone 610 449-1414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2025
Certificate Expiration Date 10/22/2027
Facility Type Pharmacy
Lab Director JOHN N. MOSER III

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