39D2284367 CLIA NUMBER - CVS/PHARMACY #01769

Laboratory Demographics

  • CLIA Code: 39D2284367
  • Facility Name: CVS/PHARMACY #01769
  • Facility Address: 906 W LEESPORT RD
    LEESPORT, PA
    ZIP 19533
  • Facility Phone: 610 208-8612
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SAMANTHA S. APSOKARDU
  • NPI Number: 1386741882
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2284367
LAB Type Pharmacy
Facility Name CVS/PHARMACY #01769
Street 906 W LEESPORT RD
City LEESPORT
State PA
ZIP 19533
Phone 610 208-8612
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 SAMANTHA S. APSOKARDU

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