39D2283162 CLIA NUMBER - CVS/PHARMACY #04039

Laboratory Demographics

CLIA Number: 39D2283162

Facility Name: CVS/PHARMACY #04039

Facility Address:
300 8TH ST
AMBRIDGE, PA
ZIP 15003
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Facility Phone Number: 724 266-9194

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1295838043

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	39D2283162
LAB Type	Pharmacy
Facility Name	CVS/PHARMACY #04039
Street	300 8TH ST
City	AMBRIDGE
State	PA
ZIP	15003
Phone	724 266-9194
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024