39D2283862 CLIA NUMBER - CVS/PHARMACY #01636

Laboratory Demographics

  • CLIA Code: 39D2283862
  • Facility Name: CVS/PHARMACY #01636
  • Facility Address: 123 GETTYSBURG PIKE
    MECHANICSBURG, PA
    ZIP 17055
  • Facility Phone: 717 697-0359
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: WILLIAM B. HIGGINS
  • NPI Number: 1598863227
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2283862
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01636
Street 123 GETTYSBURG PIKE
City MECHANICSBURG
State PA
ZIP 17055
Phone 717 697-0359
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Pharmacy
Lab Director WILLIAM B. HIGGINS

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