33D2188008 CLIA NUMBER - CVS PHARMACY NO 428

Laboratory Demographics

  • CLIA Code: 33D2188008
  • Facility Name: CVS PHARMACY NO 428
  • Facility Address: 1301 ULSTER AVE
    KINGSTON, NY
    ZIP 12401
  • Facility Phone: (845) 336-5955
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. EVAN T. BANBURY
  • NPI Number: 1235151887
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2188008
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 428
Street 1301 ULSTER AVE
City KINGSTON
State NY
ZIP 12401
Phone 8453365955
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 DR. EVAN T. BANBURY

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This page was last updated on: 5/18/2026