33D2261651 CLIA NUMBER - CVS PHARMACY NO 03379

Laboratory Demographics

  • CLIA Code: 33D2261651
  • Facility Name: CVS PHARMACY NO 03379
  • Facility Address: 653 RTE 9
    WILTON, NY
    ZIP 12831
  • Facility Phone: 518 584-4021
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. KIERSTEN L. MARSICANO
  • NPI Number: 1760632236
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2261651
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 03379
Street 653 RTE 9
City WILTON
State NY
ZIP 12831
Phone 518 584-4021
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. KIERSTEN L. MARSICANO

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