39D2222855 CLIA NUMBER - CVS/PHARMACY #02479

Laboratory Demographics

  • CLIA Code: 39D2222855
  • Facility Name: CVS/PHARMACY #02479
  • Facility Address: 409 HARLEYSVILLE PIKE
    SOUDERTON, PA
    ZIP 18964
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALISON KUHNS
  • NPI Number: 1225132004
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2222855
LAB Type Pharmacy
Facility Name CVS/PHARMACY #02479
Street 409 HARLEYSVILLE PIKE
City SOUDERTON
State PA
ZIP 18964
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 ALISON KUHNS

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