39D2261537 CLIA NUMBER - CVS/PHARMACY #03617

Laboratory Demographics

  • CLIA Code: 39D2261537
  • Facility Name: CVS/PHARMACY #03617
  • Facility Address: 215 TOWN CENTER BLVD
    EASTON, PA
    ZIP 18040
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAE M. SHIN
  • NPI Number: 1649374430
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2261537
LAB Type Pharmacy
Facility Name CVS/PHARMACY #03617
Street 215 TOWN CENTER BLVD
City EASTON
State PA
ZIP 18040
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 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Pharmacy
Lab Director JAE M. SHIN

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