34D2281880 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03808

Laboratory Demographics

  • CLIA Code: 34D2281880
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03808
  • Facility Address: 2225 12 TH AVENUE NE
    HICKORY, NC
    ZIP 28601
  • Facility Phone: 828 256-6456
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: NICOLE FERNANDEZ
  • NPI Number: 1245333707
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2281880
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #03808
Street 2225 12 TH AVENUE NE
City HICKORY
State NC
ZIP 28601
Phone 828 256-6456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Pharmacy
Lab Director NICOLE FERNANDEZ

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