39D2261514 CLIA NUMBER - CVS/PHARMACY #04020

Laboratory Demographics

  • CLIA Code: 39D2261514
  • Facility Name: CVS/PHARMACY #04020
  • Facility Address: 201 FIELDCREST DRIVE
    NOTTINGHAM, PA
    ZIP 19362
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALEXANDRA P. DIEMER
  • NPI Number: 1467779769
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2261514
LAB Type Pharmacy
Facility Name CVS/PHARMACY #04020
Street 201 FIELDCREST DRIVE
City NOTTINGHAM
State PA
ZIP 19362
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 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Pharmacy
Lab Director ALEXANDRA P. DIEMER

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