39D2308581 CLIA NUMBER - COMMUNITY PHARMACY

Laboratory Demographics

  • CLIA Code: 39D2308581
  • Facility Name: COMMUNITY PHARMACY
  • Facility Address: 1256 PENNSYLVANIA AVENUE
    TYRONE, PA
    ZIP 16686
  • Facility Phone: 814 684-0230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LANA M. EICHENLAUB
  • NPI Number: 1316015670
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2308581
LAB Type Pharmacy
Facility Name COMMUNITY PHARMACY
Street 1256 PENNSYLVANIA AVENUE
City TYRONE
State PA
ZIP 16686
Phone 814 684-0230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Pharmacy
Lab Director LANA M. EICHENLAUB

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