34D2221757 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY # 02560

Laboratory Demographics

  • CLIA Code: 34D2221757
  • Facility Name: NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY # 02560
  • Facility Address: 2035 NORTH SHARON AMITY RD
    CHARLOTTE, NC
    ZIP 28205
  • Facility Phone: 866 389-2727
  • Facility Type: Other - PHARMD
  • Facility Type: Waiver
  • Lab Director: TAYLOR LOGAN
  • NPI Number: 1952404709
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2221757
LAB Type Other - PHARMD
Facility Name NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY # 02560
Street 2035 NORTH SHARON AMITY RD
City CHARLOTTE
State NC
ZIP 28205
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Other - PHARMD
Lab Director TAYLOR LOGAN

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This page was last updated on: 9/29/2025