Healther Providers Data Logo

33D2282357 CLIA NUMBER - CVS PHARMACY NO 02135

Laboratory Demographics

CLIA Number: 33D2282357

Facility Name: CVS PHARMACY NO 02135

Facility Address:
13 PORT WATSON ST
CORTLAND, NY
ZIP 13045
Get Directions

Facility Phone Number: 607 753-3230

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1740384569

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 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
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

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