39D2328285 CLIA NUMBER - WEIS MARKETS #152

Laboratory Demographics

  • CLIA Code: 39D2328285
  • Facility Name: WEIS MARKETS #152
  • Facility Address: 1 WEIS PLAZA
    NANTICOKE, PA
    ZIP 18634
  • Facility Phone: 570 735-3979
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DANIELLE KIECK
  • NPI Number: 1811920150
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2328285
LAB Type Pharmacy
Facility Name WEIS MARKETS #152
Street 1 WEIS PLAZA
City NANTICOKE
State PA
ZIP 18634
Phone 570 735-3979
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Pharmacy
Lab Director DANIELLE KIECK

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