34D2282470 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07030

Laboratory Demographics

  • CLIA Code: 34D2282470
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07030
  • Facility Address: 5001 COUNTRY CLUB RD
    WINSTON SALEM, NC
    ZIP 27104
  • Facility Phone: 336 659-0391
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SEENA SINCLAIRTHOMAS
  • NPI Number: 1578666269
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2282470
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #07030
Street 5001 COUNTRY CLUB RD
City WINSTON SALEM
State NC
ZIP 27104
Phone 336 659-0391
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 SEENA SINCLAIRTHOMAS

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