33D2282357 CLIA NUMBER - CVS PHARMACY NO 02135

Laboratory Demographics

  • CLIA Code: 33D2282357
  • Facility Name: CVS PHARMACY NO 02135
  • Facility Address: 13 PORT WATSON ST
    CORTLAND, NY
    ZIP 13045
  • Facility Phone: 607 753-3230
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DR. SAMANTHA CLARK
  • NPI Number: 1740384569
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2282357
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 02135
Street 13 PORT WATSON ST
City CORTLAND
State NY
ZIP 13045
Phone 607 753-3230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2023
Certificate Expiration Date 3/26/2027
Facility Type Pharmacy
Lab Director DR. SAMANTHA CLARK

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