39D2282291 CLIA NUMBER - CVS/PHARMACY #01805

Laboratory Demographics

  • CLIA Code: 39D2282291
  • Facility Name: CVS/PHARMACY #01805
  • Facility Address: 101 REECESVILLE RD
    COATESVILLE, PA
    ZIP 19320
  • Facility Phone: 610 466-7166
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RYAN PRATHER
  • NPI Number: 1063709442
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2282291
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01805
Street 101 REECESVILLE RD
City COATESVILLE
State PA
ZIP 19320
Phone 610 466-7166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director RYAN PRATHER

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