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

Laboratory Demographics

  • CLIA Code: 34D2281745
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03831
  • Facility Address: 102 N. BICKETT BLVD.
    LOUISBURG, NC
    ZIP 27549
  • Facility Phone: 919 496-6111
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ROSINA MESUMBE
  • NPI Number: 1780787549
  • Taxonomy: 333600000X - Pharmacy

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Pharmacy
Lab Director ROSINA MESUMBE

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