34D2282324 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03559

Laboratory Demographics

  • CLIA Code: 34D2282324
  • Facility Name: NORTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03559
  • Facility Address: 111 S MAIN STREET
    RUTHERFORDTON, NC
    ZIP 28139
  • Facility Phone: 828 287-4227
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LAURI KEENEY
  • NPI Number: 1700989563
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2282324
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY LLC DBA CVS/PHARMACY #03559
Street 111 S MAIN STREET
City RUTHERFORDTON
State NC
ZIP 28139
Phone 828 287-4227
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 LAURI KEENEY

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