01D2258489 CLIA NUMBER - CVS /PHARMACY #04948 ALABAMA CVS PHARMACY, LLC

Laboratory Demographics

CLIA Number: 01D2258489

Facility Name: CVS /PHARMACY #04948 ALABAMA CVS PHARMACY, LLC

Facility Address:
5705 CHALKVILLE RD
BIRMINGHAM, AL
ZIP 35235
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1881797603

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	01D2258489
LAB Type	Pharmacy
Facility Name	CVS /PHARMACY #04948 ALABAMA CVS PHARMACY, LLC
Street	5705 CHALKVILLE RD
City	BIRMINGHAM
State	AL
ZIP	35235
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	4/22/2024
CertificateExpirationDate	4/21/2026
FacilityType	Waiver

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