14D2283746 CLIA NUMBER - CVS/PHARMACY #06831

Laboratory Demographics

  • CLIA Code: 14D2283746
  • Facility Name: CVS/PHARMACY #06831
  • Facility Address: 2701 GODFREY RD
    GODFREY, IL
    ZIP 62035
  • Facility Phone: 618 466-1211
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MEGHAN SCHRUMPF
  • NPI Number: 1629171491
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2283746
LAB Type Pharmacy
Facility Name CVS/PHARMACY #06831
Street 2701 GODFREY RD
City GODFREY
State IL
ZIP 62035
Phone 618 466-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Pharmacy
Lab Director MEGHAN SCHRUMPF

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