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34D2221770 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY # 07681

Laboratory Demographics

CLIA Number: 34D2221770

Facility Name: NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY # 07681

Facility Address:
10478 N NORTH CAROLINA HWY #109
WINSTON-SALEM, NC
ZIP 27107
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Facility Phone Number: 401 770-6431

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1336242973

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 34D2221770
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY # 07681
Street 10478 N NORTH CAROLINA HWY #109
City WINSTON-SALEM
State NC
ZIP 27107
Phone 401 770-6431
CertificateType 4
CertificateEffectiveDate 4/23/2023
CertificateExpirationDate 4/22/2025
FacilityType Waiver

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