06D2220519 CLIA NUMBER - CVS PHARMACY, INC DBA - CVS PHARMACY #10959

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Laboratory Demographics

CLIA Number: 06D2220519

Facility Name: CVS PHARMACY, INC DBA - CVS PHARMACY #10959

Facility Address:
1900 18TH ST, FIRST FLOOR
DENVER, CO
ZIP 80202
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1134617582

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	06D2220519
LAB Type	Pharmacy
Facility Name	CVS PHARMACY, INC DBA - CVS PHARMACY #10959
Street	1900 18TH ST, FIRST FLOOR
City	DENVER
State	CO
ZIP	80202
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/13/2023
CertificateExpirationDate	4/12/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024