FDA UDI In Commercial Distribution 🇺🇸 United States

CVS Health At Home A1C Test Kit

DI: 00050428526859 · Model: 3059 · WOONSOCKET PRESCRIPTION CENTER, INCORPORATED
Product Codes
1
GMDN Terms
1
Identifiers
2
Pkg Device Count
2

Basic Information

Brand Name
CVS Health At Home A1C Test Kit
Primary DI
00050428526859
Version / Model
3059
Catalog Number
3059
Company Name
WOONSOCKET PRESCRIPTION CENTER, INCORPORATED
Labeler DUNS
062312574
Distribution Status
In Commercial Distribution
Device Count in Pkg
2
Record Status
Published
Publish Date
2016-10-17
Public Version
3
Public Version Date
2018-07-06
Public Version Status
Update
Public Device Record Key
e0eac44a-41cb-4b5e-be3d-1914a3631e5e

Device Description

The CVS Health At Home A1C Test Kit provides quantitative measurement of the percent of glycated hemoglobin (%HbA1C or %A1C) levels in human whole blood samples.

Device Characteristics

Single Use
Yes
Prescription Use (Rx)
No
Over the Counter (OTC)
Yes
Kit
Yes
Combination Product
No
HCT/P
No
Contains NRL
No
Not Made with NRL
No
MRI Safety
Labeling does not contain MRI Safety Information
Direct Marking Exempt
No
PM Exempt
No
Has Serial Number
No
Has Lot/Batch Number
Yes
Has Manufacturing Date
No
Has Expiration Date
Yes
Has Donation ID
No

Sterilization

Is Sterile
No
Sterilization Prior Use
No

Product Codes

Code Name
LCP Assay, Glycosylated Hemoglobin

GMDN Terms

Code Name
62205 Glycated haemoglobin (HbA1c) monitoring system IVD, home-use

Identifiers

Type ID
Primary 00050428526859
Unit of Use 10050428526856

Customer Contacts

Premarket Submissions

Submission Number Supplement Number
K090413 000

Storage Conditions

Type
Storage Environment Temperature
Temperature Range
64 – 77 Degrees Fahrenheit
Type
Special Storage Condition, Specify
Special Conditions
Store out of direct sunlight.
Type
Special Storage Condition, Specify
Special Conditions
Do not use if dot is red or if the product is past the expiration date.
Type
Special Storage Condition, Specify
Special Conditions
Use indoors at room temperature.