39D2292246 CLIA NUMBER - GIANT PHARMACY #6448

Laboratory Demographics

  • CLIA Code: 39D2292246
  • Facility Name: GIANT PHARMACY #6448
  • Facility Address: 180 UPLAND SQUARE DR
    STOWE, PA
    ZIP 19464
  • Facility Phone: 610 705-0004
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD ZARYNOW
  • NPI Number: 1104858117
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2292246
LAB Type Pharmacy
Facility Name GIANT PHARMACY #6448
Street 180 UPLAND SQUARE DR
City STOWE
State PA
ZIP 19464
Phone 610 705-0004
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 RICHARD ZARYNOW

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