39D2223673 CLIA NUMBER - CVS/PHARMACY #02524

Laboratory Demographics

CLIA Number: 39D2223673

Facility Name: CVS/PHARMACY #02524

Facility Address:
298 EAST STREET ROAD
FEASTERVILLE, PA
ZIP 19053
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1720182504

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	39D2223673
LAB Type	Pharmacy
Facility Name	CVS/PHARMACY #02524
Street	298 EAST STREET ROAD
City	FEASTERVILLE
State	PA
ZIP	19053
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Waiver

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