33D2261641 CLIA NUMBER - CVS PHARMACY NO 05053

Laboratory Demographics

  • CLIA Code: 33D2261641
  • Facility Name: CVS PHARMACY NO 05053
  • Facility Address: 65 QUAKER AVE
    CORNWALL, NY
    ZIP 12518
  • Facility Phone: 845 534-2506
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL D. PANKO
  • NPI Number: 1598868333
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2261641
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 05053
Street 65 QUAKER AVE
City CORNWALL
State NY
ZIP 12518
Phone 845 534-2506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2022
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. MICHAEL D. PANKO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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