39D2283865 CLIA NUMBER - CVS/PHARMACY # 02449

Laboratory Demographics

  • CLIA Code: 39D2283865
  • Facility Name: CVS/PHARMACY # 02449
  • Facility Address: 11240 PERRY HIGHWAY
    WEXFORD, PA
    ZIP 15090
  • Facility Phone: 724 935-7890
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: DAVID J. NOTTE
  • NPI Number: 1629172408
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2283865
LAB Type Pharmacy
Facility Name CVS/PHARMACY # 02449
Street 11240 PERRY HIGHWAY
City WEXFORD
State PA
ZIP 15090
Phone 724 935-7890
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 DAVID J. NOTTE

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