39D2283334 CLIA NUMBER - CVS/PHARMACY #05710

Laboratory Demographics

  • CLIA Code: 39D2283334
  • Facility Name: CVS/PHARMACY #05710
  • Facility Address: 120 5TH STREET
    ELLWOOD CITY, PA
    ZIP 16117
  • Facility Phone: 724 752-2588
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RACHEL C. RAFANIELLO
  • NPI Number: 1821191677
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2283334
LAB Type Pharmacy
Facility Name CVS/PHARMACY #05710
Street 120 5TH STREET
City ELLWOOD CITY
State PA
ZIP 16117
Phone 724 752-2588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Pharmacy
Lab Director RACHEL C. RAFANIELLO

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