39D2284386 CLIA NUMBER - CVS/PHARMACY #10896

Laboratory Demographics

  • CLIA Code: 39D2284386
  • Facility Name: CVS/PHARMACY #10896
  • Facility Address: 629 WEST LANCASTER AVE
    WAYNE, PA
    ZIP 19087
  • Facility Phone: 610 688-8583
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BATOOL J. AL-BATAINEH
  • NPI Number: 1962506709
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D2284386
LAB Type Pharmacy
Facility Name CVS/PHARMACY #10896
Street 629 WEST LANCASTER AVE
City WAYNE
State PA
ZIP 19087
Phone 610 688-8583
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 BATOOL J. AL-BATAINEH

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