39D2284364 CLIA NUMBER - CVS/PHARMACY #00342

Laboratory Demographics

  • CLIA Code: 39D2284364
  • Facility Name: CVS/PHARMACY #00342
  • Facility Address: 3016 ROUTE 940, PO BOX 2320
    POCONO SUMMIT, PA
    ZIP 18346
  • Facility Phone: 570 839-6670
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RICHARD C. QUIGLEY
  • NPI Number: 1063700912
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2284364
LAB Type Pharmacy
Facility Name CVS/PHARMACY #00342
Street 3016 ROUTE 940, PO BOX 2320
City POCONO SUMMIT
State PA
ZIP 18346
Phone 570 839-6670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Pharmacy
Lab Director RICHARD C. QUIGLEY

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