34D2260855 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07021

Laboratory Demographics

CLIA Number: 34D2260855

Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07021

Facility Address:
2203 WAYNE MEMORIAL DRIVE
GOLDSBORO, NC
ZIP 27534
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Facility Phone Number: 866 389-2727

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1689804106

Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

CLIA Record

Field Name	Field Value
CLIA Number	34D2260855
LAB Type	Pharmacy
Facility Name	NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07021
Street	2203 WAYNE MEMORIAL DRIVE
City	GOLDSBORO
State	NC
ZIP	27534
Phone	866 389-2727
CertificateType	4
CertificateEffectiveDate	5/24/2022
CertificateExpirationDate	5/23/2024
FacilityType	Waiver

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