01D2223524 CLIA NUMBER - CVS/PHARMACY #04874 ALABAMA CVS PHARMACY, LLC

Laboratory Demographics

CLIA Number: 01D2223524

Facility Name: CVS/PHARMACY #04874 ALABAMA CVS PHARMACY, LLC

Facility Address:
2480 ROCKY RIDGE ROAD
VESTAVIA, AL
ZIP 35243
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1992808414

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	01D2223524
LAB Type	Pharmacy
Facility Name	CVS/PHARMACY #04874 ALABAMA CVS PHARMACY, LLC
Street	2480 ROCKY RIDGE ROAD
City	VESTAVIA
State	AL
ZIP	35243
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/7/2023
CertificateExpirationDate	5/6/2025
FacilityType	Waiver

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