39D2283688 CLIA NUMBER - CVS/PHARMACY #00460

Laboratory Demographics

  • CLIA Code: 39D2283688
  • Facility Name: CVS/PHARMACY #00460
  • Facility Address: 101 CHESTER AVENUE
    YEADON, PA
    ZIP 19050
  • Facility Phone: 610 461-2171
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAWN ROCHESTER
  • NPI Number: 1144324989
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2283688
LAB Type Pharmacy
Facility Name CVS/PHARMACY #00460
Street 101 CHESTER AVENUE
City YEADON
State PA
ZIP 19050
Phone 610 461-2171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Pharmacy
Lab Director DAWN ROCHESTER

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