39D2308457 CLIA NUMBER - MAINLINE PHARMACY - SOMERSET

Laboratory Demographics

  • CLIA Code: 39D2308457
  • Facility Name: MAINLINE PHARMACY - SOMERSET
  • Facility Address: 168 W MAIN ST
    SOMERSET, PA
    ZIP 15501
  • Facility Phone: 814 445-6511
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOHN E. PASTOREK
  • NPI Number: 1598771263
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2308457
LAB Type Pharmacy
Facility Name MAINLINE PHARMACY - SOMERSET
Street 168 W MAIN ST
City SOMERSET
State PA
ZIP 15501
Phone 814 445-6511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Pharmacy
Lab Director JOHN E. PASTOREK

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