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39D2284617 CLIA NUMBER - CVS/PHARMACY #04234

Laboratory Demographics

CLIA Number: 39D2284617

Facility Name: CVS/PHARMACY #04234

Facility Address:
5801 TILGHMAN ST
ALLENTOWN, PA
ZIP 18104
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Facility Phone Number: 610 398-3228

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1477656221

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name Field Value
CLIA Number 39D2284617
LAB Type Pharmacy
Facility Name CVS/PHARMACY #04234
Street 5801 TILGHMAN ST
City ALLENTOWN
State PA
ZIP 18104
Phone 610 398-3228
CertificateType 4
CertificateEffectiveDate 6/27/2023
CertificateExpirationDate 6/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024