39D2222026 CLIA NUMBER - CVS/PHARMACY #16607

Laboratory Demographics

CLIA Number: 39D2222026

Facility Name: CVS/PHARMACY #16607

Facility Address:
1717 ROUTE 228
CRANBERRY TOWNSHIP, PA
ZIP 16066
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578759726

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 39D2222026
LAB Type Pharmacy
Facility Name CVS/PHARMACY #16607
Street 1717 ROUTE 228
City CRANBERRY TOWNSHIP
State PA
ZIP 16066
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