39D2282428 CLIA NUMBER - CVS/PHARMACY #02495

Laboratory Demographics

  • CLIA Code: 39D2282428
  • Facility Name: CVS/PHARMACY #02495
  • Facility Address: 751 WEST LANCASTER AVENUE
    DOWNINGTOWN, PA
    ZIP 19335
  • Facility Phone: 610 518-1841
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICK D OTTAVIO
  • NPI Number: 1518212141
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2282428
LAB Type Pharmacy
Facility Name CVS/PHARMACY #02495
Street 751 WEST LANCASTER AVENUE
City DOWNINGTOWN
State PA
ZIP 19335
Phone 610 518-1841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director NICK D OTTAVIO

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