33D2281817 CLIA NUMBER - CVS PHARMACY NO 02440

Laboratory Demographics

  • CLIA Code: 33D2281817
  • Facility Name: CVS PHARMACY NO 02440
  • Facility Address: 530 BURNSIDE AVE
    INWOOD, NY
    ZIP 11096
  • Facility Phone: 516 371-2828
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. CHARLENE DWARIKA
  • NPI Number: 1205930062
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2281817
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 02440
Street 530 BURNSIDE AVE
City INWOOD
State NY
ZIP 11096
Phone 516 371-2828
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2023
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. CHARLENE DWARIKA

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