39D2282215 CLIA NUMBER - CVS/PHARMACY #01091

Laboratory Demographics

  • CLIA Code: 39D2282215
  • Facility Name: CVS/PHARMACY #01091
  • Facility Address: 430 KEYSTONE AVE
    SAYRE, PA
    ZIP 18840
  • Facility Phone: 570 888-7763
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ALICIA C. EDSALL
  • NPI Number: 1821192675
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2282215
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01091
Street 430 KEYSTONE AVE
City SAYRE
State PA
ZIP 18840
Phone 570 888-7763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Pharmacy
Lab Director ALICIA C. EDSALL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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