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33D2287084 CLIA NUMBER - CVS PHARMACY NO 05074

Laboratory Demographics

CLIA Number: 33D2287084

Facility Name: CVS PHARMACY NO 05074

Facility Address:
100 E NAPLES ST
WAYLAND, NY
ZIP 14572
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Facility Phone Number: 585 728-2350

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1932202777

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 33D2287084
LAB Type Pharmacy
Facility Name CVS PHARMACY NO 05074
Street 100 E NAPLES ST
City WAYLAND
State NY
ZIP 14572
Phone 585 728-2350
CertificateType 4
CertificateEffectiveDate 8/8/2023
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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