39D2284385 CLIA NUMBER - CVS/PHARMACY #10493

Laboratory Demographics

  • CLIA Code: 39D2284385
  • Facility Name: CVS/PHARMACY #10493
  • Facility Address: 901 SUMNEYTOWN PIKE
    SPRING HOUSE, PA
    ZIP 19477
  • Facility Phone: (215) 646-5089
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMOL P. WAGHMARE
  • NPI Number: 1578094751
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2284385
LAB Type Pharmacy
Facility Name CVS/PHARMACY #10493
Street 901 SUMNEYTOWN PIKE
City SPRING HOUSE
State PA
ZIP 19477
Phone 2156465089
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 AMOL P. WAGHMARE

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This page was last updated on: 5/18/2026