34D2281881 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04490

Laboratory Demographics

  • CLIA Code: 34D2281881
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04490
  • Facility Address: 2580 COURT DRIVE
    GASTONIA, NC
    ZIP 28054
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KELLY GRAY
  • NPI Number: 1982707758
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2281881
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #04490
Street 2580 COURT DRIVE
City GASTONIA
State NC
ZIP 28054
Phone 866 389-2727
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 KELLY GRAY

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