39D2282493 CLIA NUMBER - CVS/PHARMACY #02969

Laboratory Demographics

  • CLIA Code: 39D2282493
  • Facility Name: CVS/PHARMACY #02969
  • Facility Address: 2800 CONRAD WEISSER PARKWAY
    WOMELSDORF, PA
    ZIP 19567
  • Facility Phone: 610 589-4417
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TRACY N. NGUYEN
  • NPI Number: 1447581467
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2282493
LAB Type Pharmacy
Facility Name CVS/PHARMACY #02969
Street 2800 CONRAD WEISSER PARKWAY
City WOMELSDORF
State PA
ZIP 19567
Phone 610 589-4417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director TRACY N. NGUYEN

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