34D2282341 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #01246

Laboratory Demographics

  • CLIA Code: 34D2282341
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #01246
  • Facility Address: 612 N MAIN STREET
    CREEDMOOR, NC
    ZIP 27522
  • Facility Phone: 919 528-4709
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JASMINE JACKSON
  • NPI Number: 1316188550
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2282341
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #01246
Street 612 N MAIN STREET
City CREEDMOOR
State NC
ZIP 27522
Phone 919 528-4709
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 JASMINE JACKSON

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