33D2261642 CLIA NUMBER - CVS PHARMACY NO 05008

Laboratory Demographics

  • CLIA Code: 33D2261642
  • Facility Name: CVS PHARMACY NO 05008
  • Facility Address: 39 MEADOW ST
    CLINTON, NY
    ZIP 13323
  • Facility Phone: 315 853-5528
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY M. PACIELLO
  • NPI Number: 1750484580
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2261642
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 05008
Street 39 MEADOW ST
City CLINTON
State NY
ZIP 13323
Phone 315 853-5528
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 TRACY M. PACIELLO

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