39D1010562 CLIA NUMBER - CORAM ALTERNATE SITE SERVICES INC

Laboratory Demographics

CLIA Number: 39D1010562

Facility Name: CORAM ALTERNATE SITE SERVICES INC

Facility Address:
220 EXECUTIVE DRIVE, SUITE 500
CRANBERRY TOWNSHIP, PA
ZIP 16066
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Facility Phone Number: 724 772-3701

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1386713337

Taxonomy: 3336H0001X - Pharmacy
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

CLIA Record

Field Name	Field Value
CLIA Number	39D1010562
LAB Type	Pharmacy
Facility Name	CORAM ALTERNATE SITE SERVICES INC
Street	220 EXECUTIVE DRIVE, SUITE 500
City	CRANBERRY TOWNSHIP
State	PA
ZIP	16066
Phone	724 772-3701
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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