33D2280981 CLIA NUMBER - CVS PHARMACY NO 01950

Laboratory Demographics

  • CLIA Code: 33D2280981
  • Facility Name: CVS PHARMACY NO 01950
  • Facility Address: 825 CONNETQUOT AVE - TERRACE PLAZA
    ISLIP TERRACE, NY
    ZIP 11752
  • Facility Phone: 631 581-5496
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. LEXIS TUDISCO
  • NPI Number: 1366540908
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2280981
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 01950
Street 825 CONNETQUOT AVE - TERRACE PLAZA
City ISLIP TERRACE
State NY
ZIP 11752
Phone 631 581-5496
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. LEXIS TUDISCO

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