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08D2217665 CLIA NUMBER - DELAWARE CVS PHARMACY, LLC DBA CVS 03231

Laboratory Demographics

CLIA Number: 08D2217665

Facility Name: DELAWARE CVS PHARMACY, LLC DBA CVS 03231

Facility Address:
36252 LIGHTHOUSE RD
SELBYVILLE, DE
ZIP 19975
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1972904670

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 08D2217665
LAB Type Pharmacy
Facility Name DELAWARE CVS PHARMACY, LLC DBA CVS 03231
Street 36252 LIGHTHOUSE RD
City SELBYVILLE
State DE
ZIP 19975
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 3/23/2023
CertificateExpirationDate 3/22/2025
FacilityType Waiver

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