34D2221858 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS PHARMACY # 04622

Laboratory Demographics

  • CLIA Code: 34D2221858
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS PHARMACY # 04622
  • Facility Address: 3625 S COLLGE ROAD
    WILMINGTON, NC
    ZIP 28412
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL STEIN
  • NPI Number: 1427151281
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2221858
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS PHARMACY # 04622
Street 3625 S COLLGE ROAD
City WILMINGTON
State NC
ZIP 28412
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Pharmacy
Lab Director PAUL STEIN

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