49D2285040 CLIA NUMBER - VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01552

Laboratory Demographics

  • CLIA Code: 49D2285040
  • Facility Name: VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01552
  • Facility Address: 780 MARTIN LUTHER KING JR WAY
    HARRISONBURG, VA
    ZIP 22801
  • Facility Phone: 540 434-8916
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTEO MAISANO
  • NPI Number: 1184009557
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2285040
LAB Type Pharmacy
Facility Name VIRGINIA CVS PHARMACY, LLC DBA CVS/PHARMACY #01552
Street 780 MARTIN LUTHER KING JR WAY
City HARRISONBURG
State VA
ZIP 22801
Phone 540 434-8916
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2023
Certificate Expiration Date 7/4/2025
Facility Type Pharmacy
Lab Director MATTEO MAISANO

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This page was last updated on: 6/4/2025