33D2261650 CLIA NUMBER - CVS PHARMACY NO 00793

Laboratory Demographics

  • CLIA Code: 33D2261650
  • Facility Name: CVS PHARMACY NO 00793
  • Facility Address: 1013 STATE HWY 29A
    GLOVERSVILLE, NY
    ZIP 12078
  • Facility Phone: 518 725-8661
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MR. HARRY L. PHELPS
  • NPI Number: 1164520789
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2261650
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 00793
Street 1013 STATE HWY 29A
City GLOVERSVILLE
State NY
ZIP 12078
Phone 518 725-8661
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. HARRY L. PHELPS

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