33D2187450 CLIA NUMBER - CVS PHARMACY NO 1235

Laboratory Demographics

  • CLIA Code: 33D2187450
  • Facility Name: CVS PHARMACY NO 1235
  • Facility Address: 1829 GRAND AVE
    NORTH BALDWIN, NY
    ZIP 11510
  • Facility Phone: 516 378-7645
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. MATTHEW D. BERNARDEZ
  • NPI Number: 1457455214
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2187450
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 1235
Street 1829 GRAND AVE
City NORTH BALDWIN
State NY
ZIP 11510
Phone 516 378-7645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2022
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MR. MATTHEW D. BERNARDEZ

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