33D2280979 CLIA NUMBER - CVS PHARMACY NO 01271

Laboratory Demographics

  • CLIA Code: 33D2280979
  • Facility Name: CVS PHARMACY NO 01271
  • Facility Address: 626 RTE 25A
    ROCKY POINT, NY
    ZIP 11778
  • Facility Phone: 631 821-0132
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. JENINE ABUMUSALLAM
  • NPI Number: 1457459083
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2280979
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 01271
Street 626 RTE 25A
City ROCKY POINT
State NY
ZIP 11778
Phone 631 821-0132
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. JENINE ABUMUSALLAM

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