34D2282858 CLIA NUMBER - NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY # 04095

Laboratory Demographics

  • CLIA Code: 34D2282858
  • Facility Name: NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY # 04095
  • Facility Address: 3026 BRAGG BOULEVARD
    FAYETTEVILLE, NC
    ZIP 28303
  • Facility Phone: 910 864-4556
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHINTAN PATEL
  • NPI Number: 1972606739
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 34D2282858
LAB Type Pharmacy
Facility Name NORTH CAROLINA CVS PHARMACY, LLC DBA CVS/PHARMACY # 04095
Street 3026 BRAGG BOULEVARD
City FAYETTEVILLE
State NC
ZIP 28303
Phone 910 864-4556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Pharmacy
Lab Director CHINTAN PATEL

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