34D2282436 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05594

Laboratory Demographics

  • CLIA Code: 34D2282436
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05594
  • Facility Address: 2400 GUM BRANCH RD.
    JACKSONVILLE, NC
    ZIP 28540
  • Facility Phone: (866) 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HEATHER FUTRELL
  • NPI Number: 1447353115
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2282436
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #05594
Street 2400 GUM BRANCH RD.
City JACKSONVILLE
State NC
ZIP 28540
Phone 8663892727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Pharmacy
Lab Director HEATHER FUTRELL

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This page was last updated on: 5/18/2026