39D2222845 CLIA NUMBER - CVS/PHARMACY #04215

Laboratory Demographics

  • CLIA Code: 39D2222845
  • Facility Name: CVS/PHARMACY #04215
  • Facility Address: 820 EDGEWOOD ROAD
    YORK, PA
    ZIP 17402
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SHERRY KELLER
  • NPI Number: 1013939743
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2222845
LAB Type Pharmacy
Facility Name CVS/PHARMACY #04215
Street 820 EDGEWOOD ROAD
City YORK
State PA
ZIP 17402
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Pharmacy
Lab Director SHERRY KELLER

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This page was last updated on: 9/29/2025