39D2283866 CLIA NUMBER - CVS/PHARMACY #02783

Laboratory Demographics

  • CLIA Code: 39D2283866
  • Facility Name: CVS/PHARMACY #02783
  • Facility Address: 518 PORT ROYAL AVENUE
    PHILADELPHIA, PA
    ZIP 19128
  • Facility Phone: 215 483-6680
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHRISTEN B. KAMIN
  • NPI Number: 1316041197
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2283866
LAB Type Pharmacy
Facility Name CVS/PHARMACY #02783
Street 518 PORT ROYAL AVENUE
City PHILADELPHIA
State PA
ZIP 19128
Phone 215 483-6680
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 CHRISTEN B. KAMIN

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