34D2282322 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #01643

Laboratory Demographics

  • CLIA Code: 34D2282322
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #01643
  • Facility Address: 2002 SHILOH CHURCH RD
    DAVIDSON, NC
    ZIP 28036
  • Facility Phone: 704 439-3460
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAYLA ADAMS
  • NPI Number: 1578614467
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2282322
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #01643
Street 2002 SHILOH CHURCH RD
City DAVIDSON
State NC
ZIP 28036
Phone 704 439-3460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Pharmacy
Lab Director CAYLA ADAMS

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