39D2284619 CLIA NUMBER - CVS/PHARMACY #05898

Laboratory Demographics

  • CLIA Code: 39D2284619
  • Facility Name: CVS/PHARMACY #05898
  • Facility Address: 2801 EGYPT ROAD
    AUDUBON, PA
    ZIP 19407
  • Facility Phone: 610 666-0512
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JAEWON JANG
  • NPI Number: 1649464181
  • Taxonomy: 333600000X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 39D2284619
LAB Type Pharmacy
Facility Name CVS/PHARMACY #05898
Street 2801 EGYPT ROAD
City AUDUBON
State PA
ZIP 19407
Phone 610 666-0512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Pharmacy
Lab Director JAEWON JANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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