34D2281745 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03831

Laboratory Demographics

CLIA Number: 34D2281745

Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03831

Facility Address:
102 N. BICKETT BLVD.
LOUISBURG, NC
ZIP 27549
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Facility Phone Number: 919 496-6111

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1780787549

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 34D2281745
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03831
Street 102 N. BICKETT BLVD.
City LOUISBURG
State NC
ZIP 27549
Phone 919 496-6111
CertificateType 4
CertificateEffectiveDate 5/11/2023
CertificateExpirationDate 5/10/2025
FacilityType Waiver

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