39D2259111 CLIA NUMBER - CVS/PHARMACY #01309

Laboratory Demographics

  • CLIA Code: 39D2259111
  • Facility Name: CVS/PHARMACY #01309
  • Facility Address: 250 S COURTLAND ST
    EAST STROUDSBURG, PA
    ZIP 18301
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTINA TACCETTA
  • NPI Number: 1548364391
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2259111
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01309
Street 250 S COURTLAND ST
City EAST STROUDSBURG
State PA
ZIP 18301
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Pharmacy
Lab Director CHRISTINA TACCETTA

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