39D2283163 CLIA NUMBER - CVS/PHARMACY #04051

Laboratory Demographics

CLIA Number: 39D2283163

Facility Name: CVS/PHARMACY #04051

Facility Address:
1740 WASHINGTON RD
PITTSBURGH, PA
ZIP 15241
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Facility Phone Number: 412 833-0545

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1932445558

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	39D2283163
LAB Type	Pharmacy
Facility Name	CVS/PHARMACY #04051
Street	1740 WASHINGTON RD
City	PITTSBURGH
State	PA
ZIP	15241
Phone	412 833-0545
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