34D2220318 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS PHARMACY # 16404

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Laboratory Demographics

CLIA Number: 34D2220318

Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS PHARMACY # 16404

Facility Address:
3410 DR MARTIN LUTHER KING JR BLVD
NEW BERN, NC
ZIP 28562
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1518989177

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	34D2220318
LAB Type	Pharmacy
Facility Name	NORTH CAROLINA CVS PHARMACY, LLC DBA CVS PHARMACY # 16404
Street	3410 DR MARTIN LUTHER KING JR BLVD
City	NEW BERN
State	NC
ZIP	28562
Phone	401 770-6431
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

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