39D2284370 CLIA NUMBER - CVS/PHARMACY #04060

Laboratory Demographics

  • CLIA Code: 39D2284370
  • Facility Name: CVS/PHARMACY #04060
  • Facility Address: 2110 SPRING VALLEY RD
    LANCASTER, PA
    ZIP 17601
  • Facility Phone: 717 299-4144
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACOB A. SCHULTZ
  • NPI Number: 1548364375
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2284370
LAB Type Pharmacy
Facility Name CVS/PHARMACY #04060
Street 2110 SPRING VALLEY RD
City LANCASTER
State PA
ZIP 17601
Phone 717 299-4144
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 JACOB A. SCHULTZ

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