39D2282325 CLIA NUMBER - CVS/PHARMACY #02077

Laboratory Demographics

  • CLIA Code: 39D2282325
  • Facility Name: CVS/PHARMACY #02077
  • Facility Address: 1901 WEST OREGON AVENUE
    PHILADELPHIA, PA
    ZIP 19145
  • Facility Phone: 215 551-8265
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CATHERINE G. YANG
  • NPI Number: 1295839041
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2282325
LAB Type Pharmacy
Facility Name CVS/PHARMACY #02077
Street 1901 WEST OREGON AVENUE
City PHILADELPHIA
State PA
ZIP 19145
Phone 215 551-8265
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 CATHERINE G. YANG

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