34D2282520 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #10481

Laboratory Demographics

  • CLIA Code: 34D2282520
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #10481
  • Facility Address: 32 VILLAGE CENTER DR
    CLAYTON, NC
    ZIP 27527
  • Facility Phone: 866 389-2727
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TINA BROWN JIMENEZ
  • NPI Number: 1124434865
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2282520
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY #10481
Street 32 VILLAGE CENTER DR
City CLAYTON
State NC
ZIP 27527
Phone 866 389-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Pharmacy
Lab Director TINA BROWN JIMENEZ

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