29D2219622 CLIA NUMBER - CVS/PHARMACY #08791

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Laboratory Demographics

CLIA Number: 29D2219622

Facility Name: CVS/PHARMACY #08791

Facility Address:
8580 W CHARLESTON BLVD
LAS VEGAS, NV
ZIP 89117
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1578585279

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	29D2219622
LAB Type	Pharmacy
Facility Name	CVS/PHARMACY #08791
Street	8580 W CHARLESTON BLVD
City	LAS VEGAS
State	NV
ZIP	89117
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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