33D2261649 CLIA NUMBER - CVS PHARMACY NO 07617

Laboratory Demographics

  • CLIA Code: 33D2261649
  • Facility Name: CVS PHARMACY NO 07617
  • Facility Address: 312 FAYETTE ST
    MANLIUS, NY
    ZIP 13104
  • Facility Phone: 315 682-1918
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. SHIVANI PATEL
  • NPI Number: 1689875817
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 33D2261649
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 07617
Street 312 FAYETTE ST
City MANLIUS
State NY
ZIP 13104
Phone 315 682-1918
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 MR. SHIVANI PATEL

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