39D2222025 CLIA NUMBER - CVS/PHARMACY #16608

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Laboratory Demographics

CLIA Number: 39D2222025

Facility Name: CVS/PHARMACY #16608

Facility Address:
155 POCONO COMMONS
STROUDSBURG, PA
ZIP 18360
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1811919541

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	39D2222025
LAB Type	Pharmacy
Facility Name	CVS/PHARMACY #16608
Street	155 POCONO COMMONS
City	STROUDSBURG
State	PA
ZIP	18360
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/27/2023
CertificateExpirationDate	4/26/2025
FacilityType	Waiver

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