34D2226601 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY #17196

Laboratory Demographics

CLIA Number: 34D2226601

Facility Name: NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY #17196

Facility Address:
1000 SHOPPES AT MIDWAY DR
KNIGHTDALE, NC
ZIP 27545
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1568405850

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	34D2226601
LAB Type	Pharmacy
Facility Name	NORTH CAROLINA CVS PHARMACY LLC DBA CVS PHARMACY #17196
Street	1000 SHOPPES AT MIDWAY DR
City	KNIGHTDALE
State	NC
ZIP	27545
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

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