39D2284378 CLIA NUMBER - CVS/PHARMACY #07073

Laboratory Demographics

  • CLIA Code: 39D2284378
  • Facility Name: CVS/PHARMACY #07073
  • Facility Address: 290 POTTSTOWN AVE
    PENNSBURG, PA
    ZIP 18073
  • Facility Phone: 215 541-2300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICHOLAS J. DEPALMA
  • NPI Number: 1710081500
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2284378
LAB Type Pharmacy
Facility Name CVS/PHARMACY #07073
Street 290 POTTSTOWN AVE
City PENNSBURG
State PA
ZIP 18073
Phone 215 541-2300
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 NICHOLAS J. DEPALMA

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