34D2258733 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #06401

Laboratory Demographics

CLIA Number: 34D2258733

Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #06401

Facility Address:
200 N GREEN ST
MORGANTON, NC
ZIP 28655
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1417050105

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	34D2258733
LAB Type	Pharmacy
Facility Name	NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #06401
Street	200 N GREEN ST
City	MORGANTON
State	NC
ZIP	28655
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	4/26/2024
CertificateExpirationDate	4/25/2026
FacilityType	Waiver

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