33D2280987 CLIA NUMBER - CVS PHARMACY NO 03100

Laboratory Demographics

  • CLIA Code: 33D2280987
  • Facility Name: CVS PHARMACY NO 03100
  • Facility Address: 1710 RTE 112
    CORAM, NY
    ZIP 11727
  • Facility Phone: 631 476-5360
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. MICHELLE V. GUARRIELLO
  • NPI Number: 1659716819
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2280987
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 03100
Street 1710 RTE 112
City CORAM
State NY
ZIP 11727
Phone 631 476-5360
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. MICHELLE V. GUARRIELLO

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