33D2227127 CLIA NUMBER - CVS PHARMACY NO 02286

Laboratory Demographics

  • CLIA Code: 33D2227127
  • Facility Name: CVS PHARMACY NO 02286
  • Facility Address: 729 PORTION RD
    RONKONKOMA, NY
    ZIP 11779
  • Facility Phone: 631 467-6579
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. DANIEL TAGLIAVIA
  • NPI Number: 1932203775
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2227127
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 02286
Street 729 PORTION RD
City RONKONKOMA
State NY
ZIP 11779
Phone 631 467-6579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2023
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director MR. DANIEL TAGLIAVIA

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