39D2259378 CLIA NUMBER - CVS/PHARMACY #03062

Laboratory Demographics

  • CLIA Code: 39D2259378
  • Facility Name: CVS/PHARMACY #03062
  • Facility Address: 3192 ROUTE 115
    EFFORT, PA
    ZIP 18330
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXIS M. JAVIER
  • NPI Number: 1790079275
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2259378
LAB Type Pharmacy
Facility Name CVS/PHARMACY #03062
Street 3192 ROUTE 115
City EFFORT
State PA
ZIP 18330
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 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Pharmacy
Lab Director ALEXIS M. JAVIER

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