33D2280977 CLIA NUMBER - CVS PHARMACY NO 00641

Laboratory Demographics

  • CLIA Code: 33D2280977
  • Facility Name: CVS PHARMACY NO 00641
  • Facility Address: 1 ORANGETOWN SHOPPING CENTER
    ORANGEBURG, NY
    ZIP 10962
  • Facility Phone: 845 359-6100
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. WANHEE KIM
  • NPI Number: 1437257078
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2280977
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 00641
Street 1 ORANGETOWN SHOPPING CENTER
City ORANGEBURG
State NY
ZIP 10962
Phone 845 359-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2023
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. WANHEE KIM

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