39D2282434 CLIA NUMBER - CVS/PHARMACY #02589

Laboratory Demographics

  • CLIA Code: 39D2282434
  • Facility Name: CVS/PHARMACY #02589
  • Facility Address: 558 PITTSBURGH ST
    MARS, PA
    ZIP 16046
  • Facility Phone: 724 625-5577
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JOSHUA W. MILLER
  • NPI Number: 1154614279
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2282434
LAB Type Pharmacy
Facility Name CVS/PHARMACY #02589
Street 558 PITTSBURGH ST
City MARS
State PA
ZIP 16046
Phone 724 625-5577
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 JOSHUA W. MILLER

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