05D2270137 CLIA NUMBER - CVS/PHARMACY #04675

Laboratory Demographics

CLIA Number: 05D2270137

Facility Name: CVS/PHARMACY #04675

Facility Address:
377 32ND AVE
SAN FRANCISCO, CA
ZIP 94121
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1871886457

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	05D2270137
LAB Type	Pharmacy
Facility Name	CVS/PHARMACY #04675
Street	377 32ND AVE
City	SAN FRANCISCO
State	CA
ZIP	94121
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	10/10/2022
CertificateExpirationDate	10/9/2024
FacilityType	Waiver

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