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33D2281485 CLIA NUMBER - CVS PHARMACY NO 05057

Laboratory Demographics

CLIA Number: 33D2281485

Facility Name: CVS PHARMACY NO 05057

Facility Address:
108 RTE 44
MILLERTON, NY
ZIP 12546
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Facility Phone Number: 518 789-3444

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1679676415

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 33D2281485
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 05057
Street 108 RTE 44
City MILLERTON
State NY
ZIP 12546
Phone 518 789-3444
CertificateType 4
CertificateEffectiveDate 5/8/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024