33D2281823 CLIA NUMBER - CVS PHARMACY NO 02164

Laboratory Demographics

  • CLIA Code: 33D2281823
  • Facility Name: CVS PHARMACY NO 02164
  • Facility Address: 211 E SANDFORD BLVD
    MOUNT VERNON, NY
    ZIP 10550
  • Facility Phone: (914) 664-9289
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. DEIDRE S. VASSEL
  • NPI Number: 1073617833
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2281823
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 02164
Street 211 E SANDFORD BLVD
City MOUNT VERNON
State NY
ZIP 10550
Phone 9146649289
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. DEIDRE S. VASSEL

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This page was last updated on: 5/18/2026