33D2280989 CLIA NUMBER - CVS PHARMACY NO 05359

Laboratory Demographics

  • CLIA Code: 33D2280989
  • Facility Name: CVS PHARMACY NO 05359
  • Facility Address: 7568 N BROADWAY
    RED HOOK, NY
    ZIP 12571
  • Facility Phone: 845 758-9612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY A. DAVIS
  • NPI Number: 1689777427
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 33D2280989
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 05359
Street 7568 N BROADWAY
City RED HOOK
State NY
ZIP 12571
Phone 845 758-9612
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 KELLY A. DAVIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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