39D2301098 CLIA NUMBER - DUSHORE PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2301098
  • Facility Name: DUSHORE PHARMACY
  • Facility Address: 220 S GERMAN ST
    DUSHORE, PA
    ZIP 18614
  • Facility Phone: 570 928-8010
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA M. KELLER
  • NPI Number: 1790790392
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2301098
LAB Type Pharmacy
Facility Name DUSHORE PHARMACY
Street 220 S GERMAN ST
City DUSHORE
State PA
ZIP 18614
Phone 570 928-8010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Pharmacy
Lab Director MELISSA M. KELLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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