16D2225692 CLIA NUMBER - IOWA CVS PHARMACY LLC DBA CVS/PHARMACY #08633

Laboratory Demographics

CLIA Number: 16D2225692

Facility Name: IOWA CVS PHARMACY LLC DBA CVS/PHARMACY #08633

Facility Address:
2002 SPRUCE HILLS DRIVE
BETTENDORF, IA
ZIP 52722
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1922042399

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	16D2225692
LAB Type	Pharmacy
Facility Name	IOWA CVS PHARMACY LLC DBA CVS/PHARMACY #08633
Street	2002 SPRUCE HILLS DRIVE
City	BETTENDORF
State	IA
ZIP	52722
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	Waiver

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