340B Drug Pricing Program Database

Name

Wyoming Valley AIDS Council

Subdivision Name

Old River Road Clinic

Type

Sexually Transmitted Diseases

340B ID

STD187023

Grant Number

NH25PS005144-05-06

Nature of Support
Please Describe the “in-kind” Support
Time period section 318 funding or in-kind support was received

In-Kind products or services (see note below; must have been purchased with section 318 funds)
Note: In-kind contributions may be in the form of real property, equipment, supplies and other expendable property, and goods and services directly benefiting and specifically identifiable to the project or program.
All HIV/STD testing and materials are received from the PA DOH
1/1/2019 - 12/31/2025

Current Program Status

Active

Registration Date

7/5/2023

Participating Start Date

10/1/2023

Participating Approval Date

8/18/2023

Last Recertification Date

5/6/2024

Notice of Funding Opportunity (NOFO) Number

PS19-1901

Authorizing Official

Wyoming Valley AIDS Council
KEN J ZULA, EXECUTIVE DIRECTOR
(570) 823-5808 Ext: 302

Primary Contact

WYOMING VALLEY AIDS COUNCIL, INC.
BRADEN V BEAMER, Medical Case Management Director
(570) 823-5808 Ext: 304

Street Address

250 Old River Road
C
Wilkes Barre, PA 18702

Billing Address

Wyoming Valley AIDS Council
330 Bowman Street
1
Wilkes Barre, PA 18702