39D2283364 CLIA NUMBER - CVS/PHARMACY #06790

Laboratory Demographics

  • CLIA Code: 39D2283364
  • Facility Name: CVS/PHARMACY #06790
  • Facility Address: 509 DAVIS STREET
    SCRANTON, PA
    ZIP 18505
  • Facility Phone: 570 341-3790
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MELISSA A. KILVITIS
  • NPI Number: 1245334085
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2283364
LAB Type Pharmacy
Facility Name CVS/PHARMACY #06790
Street 509 DAVIS STREET
City SCRANTON
State PA
ZIP 18505
Phone 570 341-3790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Pharmacy
Lab Director MELISSA A. KILVITIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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