22D0939457 CLIA NUMBER - CORAM CVS / SPECIALTY INFUSION SERVICES

Laboratory Demographics

CLIA Number: 22D0939457

Facility Name: CORAM CVS / SPECIALTY INFUSION SERVICES

Facility Address:
575 UNIVERSITY AVENUE, SUITE 2
NORWOOD, MA
ZIP 02062
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Facility Phone Number: 781 255-0956

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1184653388

Taxonomy: 3336H0001X - Pharmacy
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

CLIA Record

Field Name	Field Value
CLIA Number	22D0939457
LAB Type	Pharmacy
Facility Name	CORAM CVS / SPECIALTY INFUSION SERVICES
Street	575 UNIVERSITY AVENUE, SUITE 2
City	NORWOOD
State	MA
ZIP	02062
Phone	781 255-0956
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

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