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39D2259601 CLIA NUMBER - CVS/PHARMACY #01616

Laboratory Demographics

CLIA Number: 39D2259601

Facility Name: CVS/PHARMACY #01616

Facility Address:
960 WYOMING AVENUE
EXETER, PA
ZIP 18643
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1780782425

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 39D2259601
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01616
Street 960 WYOMING AVENUE
City EXETER
State PA
ZIP 18643
Phone 866 389-2727
CertificateType 4
CertificateEffectiveDate 5/9/2024
CertificateExpirationDate 5/8/2026
FacilityType Waiver

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