39D2282323 CLIA NUMBER - CVS/PHARMACY #01919

Laboratory Demographics

CLIA Number: 39D2282323

Facility Name: CVS/PHARMACY #01919

Facility Address:
815 N FRONT ST
PHILIPSBURG, PA
ZIP 16866
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Facility Phone Number: 814 342-2646

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1669573127

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 39D2282323
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01919
Street 815 N FRONT ST
City PHILIPSBURG
State PA
ZIP 16866
Phone 814 342-2646
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