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39D2284838 CLIA NUMBER - CVS/PHARMACY #02690

Laboratory Demographics

CLIA Number: 39D2284838

Facility Name: CVS/PHARMACY #02690

Facility Address:
5 KUGLER ROAD, BUILDING 100
LIMERICK, PA
ZIP 19468
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Facility Phone Number: 610 495-1000

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1770687550

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 39D2284838
LAB Type Pharmacy
Facility Name CVS/PHARMACY #02690
Street 5 KUGLER ROAD, BUILDING 100
City LIMERICK
State PA
ZIP 19468
Phone 610 495-1000
CertificateType 4
CertificateEffectiveDate 6/29/2023
CertificateExpirationDate 6/28/2025
FacilityType Waiver

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