39D2283690 CLIA NUMBER - CVS/PHARMACY #00660

Laboratory Demographics

  • CLIA Code: 39D2283690
  • Facility Name: CVS/PHARMACY #00660
  • Facility Address: 9875 BUSTLETON AVENUE
    PHILADELPHIA, PA
    ZIP 19115
  • Facility Phone: (215) 969-8750
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAIMY K. JOSEPH
  • NPI Number: 1780788521
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2283690
LAB Type Pharmacy
Facility Name CVS/PHARMACY #00660
Street 9875 BUSTLETON AVENUE
City PHILADELPHIA
State PA
ZIP 19115
Phone 2159698750
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 JAIMY K. JOSEPH

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: 5/18/2026