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39D2282286 CLIA NUMBER - CVS/PHARMACY #01596

Laboratory Demographics

CLIA Number: 39D2282286

Facility Name: CVS/PHARMACY #01596

Facility Address:
140 EAST CHESTNUT STREET
MIFFLINBURG, PA
ZIP 17844
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Facility Phone Number: 570 966-3332

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1427152263

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 39D2282286
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01596
Street 140 EAST CHESTNUT STREET
City MIFFLINBURG
State PA
ZIP 17844
Phone 570 966-3332
CertificateType 4
CertificateEffectiveDate 5/19/2023
CertificateExpirationDate 5/18/2025
FacilityType Waiver

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