39D2261199 CLIA NUMBER - CVS/PHARMACY #04984

Laboratory Demographics

  • CLIA Code: 39D2261199
  • Facility Name: CVS/PHARMACY #04984
  • Facility Address: 863 BALTIMORE PIKE
    GLEN MILLS, PA
    ZIP 19342
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID LUU
  • NPI Number: 1659565620
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2261199
LAB Type Pharmacy
Facility Name CVS/PHARMACY #04984
Street 863 BALTIMORE PIKE
City GLEN MILLS
State PA
ZIP 19342
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 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Pharmacy
Lab Director DAVID LUU

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